DR. STACEY A ELLIS (NPI# 1134203052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134203052 |
| Entity Type | Individual |
| Full Name | DR. STACEY A ELLIS |
| Credential | R.PH. |
| Practice Address |
843 E Main St Brownsburg IN 46112-1457 |
| Mailing Address |
7665 Jennifer Ln Brownsburg IN 46112-8596 |
| Practice Telephone | 3178582345 |
| Practice Fax Number | 3178582348 |
| Mailing Telephone | 3178582345 |
| Mailing Fax Number | 3178582348 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 26020400A | IN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669438073 | Stacey Ellis | Specialist/Technologist | 9005 Tudor Ln, Manassas, VA 20110-5754 | 2006-04-25 |
| 1285821256 | Stacey L Ellis | Orthotic Fitter | 2773 Harris St Ste C, Eureka, CA 95503-4866 | 2007-10-03 |
| Street Address |
843 E MAIN ST |
| City | BROWNSBURG |
| State | IN |
| Zip Code | 46112-1457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466448 | Adrianne Wagoner | Dietitian, Registered | 6535 Branches Dr, Brownsburg, IN 46112 | 2020-01-15 |
| 1649710336 | Sarah Schmitt | Nurse Practitioner | 21 West Main Street, Brownsburg, IN 46112 | 2017-03-01 |
| 1245777507 | Kaden Sloan | Specialist/Technologist | 7964 Acre Ln, Brownsburg, IN 46112 | 2017-01-25 |
| 1700244779 | Hendricks Community Hospital | Clinic/Center | 321 N. Northfield Drive, Suite 100, Brownsburg, IN 46112 | 2016-02-05 |
| 1821462490 | Harmony Home Care LLC | In Home Supportive Care | 2807 Avebury Way, Brownsburg, IN 46112 | 2015-11-19 |
| 1538546742 | Sorgi Sports LLC | Durable Medical Equipment & Medical Supplies | 1531 E. Northfield Dr. Suite 300, Brownsburg, IN 46112 | 2015-04-27 |
| 1083013692 | Tana Gehring | Physical Therapist | 7249 Arbuckle Cmns Ste A, Brownsburg, IN 46112 | 2014-08-19 |
| 1871919597 | Tammy Sarmiento | Clinic/Center | 21 W. Main Street, Brownsburg, IN 46112 | 2014-03-06 |
| 1194160267 | Andrea Chadwick Shelton | Dentist | 1141 S. Green Street, Brownsburg, IN 46112 | 2013-05-02 |
| 1588949457 | Kathleen A Shoemaker | Pharmacist | 20 W. Main Street, Brownsburg, IN 46112 | 2011-10-11 |
| Find all providers in zip 46112 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114564903 | Kimberlee Lyn Cook | Pharmacist | 403 Letterman Dr, Brownsburg, IN 46112-7688 | 2019-11-29 |
| 1548779036 | Pamela Spidell | Pharmacist | 37 Somerset Cir, Brownsburg, IN 46112-1186 | 2017-09-27 |
| 1154777928 | Karen M Striegel | Pharmacist | 6485 Southern Oak, Brownsburg, IN 46112-9181 | 2016-05-10 |
| 1265878912 | Daniel Dean Carpenter | Pharmacist | 6 Cottongrass Ct, Brownsburg, IN 46112-7882 | 2013-05-21 |
| 1588949457 | Kathleen A Shoemaker | Pharmacist | 20 W. Main Street, Brownsburg, IN 46112 | 2011-10-11 |
| 1164706016 | Annah Sansone | Pharmacist | 525 S Green St, Brownsburg, IN 46112-1608 | 2011-10-10 |
| 1205917861 | Alexander P Gordon | Pharmacist | 675 Patrick Pl Ste F, Brownsburg, IN 46112-2110 | 2006-10-18 |
| 1376578476 | John Crawford Lamar | Pharmacist | 8472 Deborah Ct, Brownsburg, IN 46112 | 2006-07-11 |
| 1033160551 | Glenn Eldridge | Pharmacist | 675 Patrick Pl, Suite F, Brownsburg, IN 46112-2110 | 2006-05-12 |
| 1194326579 | Brandon Alan Weidner | Pharmacist | 400 W Northfield Dr, Brownsburg, IN 46112-8122 | 2020-11-03 |
| Find all providers in BROWNSBURG | ||||
| City | BROWNSBURG |
| Zip Code | 46112 |
Please comment or provide details below to improve the information on DR. STACEY A ELLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.