SAMANTHA A ELLIS (NPI# 1578962437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578962437 |
| Entity Type | Individual |
| Full Name | SAMANTHA A ELLIS |
| Credential | PHARM.D, RPH |
| Practice Address |
320 Park Ave Worcester MA 01610-1021 |
| Practice Telephone | 5087671732 |
| Mailing Telephone | 5087671732 |
| Enumeration Date | 2014-08-17 |
| Last Update Date | 2014-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH235432 | MA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841652567 | Samantha Michelle Ellis | Social Worker | 11097 Se 21st Ave, Milwaukie, OR 97222-7640 | 2016-03-22 |
| 1174918098 | Samantha Rose Ellis | Dermatology | 600 San Ramon Valley Blvd Ste 102, Danville, CA 94526-4021 | 2015-03-30 |
| 1811417736 | Samantha Ellis | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375 | 2017-06-21 |
| 1356799985 | Samantha Ellis | Nurse Practitioner | 15420 N 32nd Dr, Phoenix, AZ 85053 | 2016-05-24 |
| 1710341391 | Samantha Ellis | Nutritionist | 8915 Sw Center St, Tigard, OR 97223-6307 | 2016-04-08 |
| 1861861429 | Samantha Ellis | Counselor | 487 Center St, Manchester, CT 06040-3982 | 2015-09-24 |
| 1285044750 | Samantha Ellis | Dietitian, Registered | 44 Pleasant Ave, Walden, NY 12586-1240 | 2014-05-05 |
| 1164726063 | Samantha Lee Ellis | Registered Nurse | 6200 Sw 73rd St, South Miami, FL 33143-4679 | 2011-01-06 |
| Street Address |
320 PARK AVE |
| City | WORCESTER |
| State | MA |
| Zip Code | 01610-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715382 | Elizabeth Kathryn Cousins | Pharmacist | 320 Park Ave, Worcester, MA 01610-1021 | 2020-06-21 |
| 1518582493 | Cally Ryan | Pharmacist | 320 Park Ave, Worcester, MA 01610-1021 | 2020-06-16 |
| 1538615786 | Anthony James Desmond | Pharmacist | 320 Park Ave, Worcester, MA 01610-1021 | 2016-08-28 |
| 1174956221 | Lukasz Jan Kicilinski | Pharmacist | 320 Park Ave, Worcester, MA 01610-1021 | 2013-08-13 |
| 1558618660 | Scott R. Doheny | Pharmacist | 320 Park Ave, Worcester, MA 01610-1021 | 2012-08-08 |
| 1932455037 | Michael Pashko | Pharmacist | 320 Park Ave, Worcester, MA 01610-1021 | 2012-07-27 |
| 1093083735 | Kimberly Kim | Pharmacist | 320 Park Ave, Worcester, MA 01610-1021 | 2011-12-08 |
| 1568739647 | George Acquaah-mensah | Pharmacist | 320 Park Ave, Worcester, MA 01610-1021 | 2011-11-17 |
| 1649556549 | Derek Joseph Charron | Pharmacist | 320 Park Ave, Worcester, MA 01610-1021 | 2011-10-24 |
| 1962787648 | Walgreens Pharmacy | Clinic/Center | 320 Park Ave, Worcester, MA 01610 | 2011-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
| 1417401951 | Kelsey Moran | Counselor | 1 College Street, Box D, Worcester, MA 01610 | 2016-08-13 |
| 1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
| 1669866430 | Shannon Smith | Student in an Organized Health Care Education/Training Program | 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 | 2015-03-19 |
| 1063815348 | Terri Boettcher | Social Worker | 72 Jacques Street, Worcester, MA 01610 | 2014-10-01 |
| 1700222866 | Kalynn Lucashensky | Occupational Therapist | 105 Woodland St. Apt. A, Worcester, MA 01610 | 2013-05-16 |
| 1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
| 1851681324 | Renaissance Adult Day Care, LLC | Clinic/Center | 1040 Southbridge Street, Worcester, MA 01610 | 2011-04-18 |
| 1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
| 1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
| Find all providers in zip 01610 | ||||
| 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 |
|---|---|---|---|---|
| 1487272159 | Amy B Schwalbe | Pharmacist | 435 Shrewsbury St Ste 3, Worcester, MA 01604-1691 | 2020-07-09 |
| 1700433232 | Aimcare Inc | Pharmacist | 13 Jennings St, Worcester, MA 01604-1927 | 2019-08-20 |
| 1871065821 | Susan Skrzek | Pharmacist | 10 Pearlbush Path, Worcester, MA 01607-1817 | 2018-12-31 |
| 1962970772 | Grace Jung | Pharmacist | 398 Belmont St Ste A, Worcester, MA 01604-1030 | 2018-11-09 |
| 1831643410 | Gloria Lika | Pharmacist | 72 Ledgecrest Dr, Worcester, MA 01603-1250 | 2016-08-11 |
| 1861862724 | Andrew Terlesky | Pharmacist | 216a E Mountain St, Worcester, MA 01606-1239 | 2015-10-04 |
| 1013384114 | Anne Mukuna | Pharmacist | 4 Baker St, Worcester, MA 01603-3109 | 2015-08-25 |
| 1487061230 | Steven H Wolfe | Pharmacist | 42 Sun Valley Dr, Worcester, MA 01609-1441 | 2014-07-14 |
| 1326396763 | Simon Daoud Morroe | Pharmacist | 261 June St, Worcester, MA 01602-3216 | 2012-08-15 |
| 1518241132 | Dalia Sbat | Pharmacist | 150 Burncoat St, Worcester, MA 01606-2406 | 2011-09-30 |
| Find all providers in WORCESTER | ||||
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| 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.