TIMOTHY MICHAEL ELLIS (NPI# 1790040863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790040863 |
| Entity Type | Individual |
| Full Name | TIMOTHY MICHAEL ELLIS |
| Credential | PHARMD |
| Practice Address |
7611 Pineville Matthews Rd Charlotte NC 28226-3909 |
| Mailing Address |
6115 Lancelot Dr Charlotte NC 28270-0431 |
| Practice Telephone | 7045420701 |
| Mailing Telephone | 7042318568 |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 22700 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588767040 | Timothy Mark Ellis | Dentist | 2110 E Flamingo Dr, Bartow, FL 33830-4236 | 2006-09-07 |
| 1124013008 | Timothy Edward Ellis | Physical Therapist | 319a Julian Ave, Healthcare Consultants Inc, Thomasville, NC 27360-4832 | 2005-09-15 |
| 1114388303 | Timothy Ellis | Specialist/Technologist | 1200 Providence Rd, Wayne, NE 68787-1212 | 2016-03-15 |
| 1669801866 | Timothy Allan Ellis | Physician Assistant | 300 W Central Texas Expy Ste 115, Harker Heights, TX 76548-1888 | 2013-11-07 |
| 1801143813 | Timothy Ray Ellis | Dentist | 11836 Elm St, Suite 1, Omaha, NE 68144-4438 | 2012-08-08 |
| 1285644856 | Timothy J. Ellis | Optometrist | 500 W Fort St, Boise, ID 83702-4501 | 2006-08-08 |
| Street Address |
7611 PINEVILLE MATTHEWS RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28226-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134248123 | Ryan Jon Mathews | Pharmacist | 7611 Pineville Matthews Rd, Charlotte, NC 28226-3909 | 2007-03-28 |
| 1922526896 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7611 Pineville Matthews Rd, Charlotte, NC 28226 | 2017-08-31 |
| 1992157861 | Sarah Marie-leonall Palacio | Pharmacist | 7611 Pineville Matthews Rd, Charlotte, NC 28226-3909 | 2016-07-05 |
| 1114331923 | Jonathan Shaw | Pharmacist | 7611 Pineville Matthews Rd, Charlotte, NC 28226-3909 | 2014-06-19 |
| 1881993152 | Cherie Dannielle Passaretti | Pharmacist | 7611 Pineville Matthews Rd, Charlotte, NC 28226-3909 | 2011-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| 1780103838 | Tamara Andres | Specialist/Technologist | 2518 Lawton Bluff Rd., Charlotte, NC 28226 | 2017-09-10 |
| 1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
| 1104354117 | Lauren Nicole Brindisi | Chiropractor | 11230 Carmel Commons Blvd., Charlotte, NC 28226 | 2017-06-03 |
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1285067504 | Amy N Bullock | Physical Therapist | 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 | 2013-08-11 |
| 1528405297 | Elevate Counseling and Clinical Services, Pllc | Community/Behavioral Health | 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 | 2013-06-04 |
| Find all providers in zip 28226 | ||||
| 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 |
|---|---|---|---|---|
| 1619576568 | Efthalia Retsios Rodriguez | Pharmacist | 7860 Rea Rd # 16466, Charlotte, NC 28277-6502 | 2020-10-21 |
| 1922614643 | Sharisse Berry | Pharmacist | 425 Sawyers Mill Rd Apt 306, Charlotte, NC 28262-1877 | 2020-09-17 |
| 1629688668 | Anu James | Pharmacist | 7005 Flying Scotsman Dr, Charlotte, NC 28213-5369 | 2020-08-05 |
| 1821608977 | Liza Carolina Schimmelfing | Pharmacist | 1300b East Blvd, Charlotte, NC 28203-5802 | 2020-08-04 |
| 1558986083 | Brooke Maag | Pharmacist | 12600 District South Dr Apt 2203, Charlotte, NC 28277-5209 | 2020-06-10 |
| 1508485707 | Mais Anis Humaideh | Pharmacist | 4521 Hamptonridge Dr Apt 207, Charlotte, NC 28210-1386 | 2020-04-09 |
| 1629603071 | Hind Al-bayati | Pharmacist | 9008 Woodbine Walk Rd Apt 7200, Charlotte, NC 28277-7004 | 2020-03-05 |
| 1659922219 | Dustin Thomas Roe | Pharmacist | 210 E Trade St Ste 186, Charlotte, NC 28202-2413 | 2019-09-25 |
| 1437718020 | Tiffany Kneuss | Pharmacist | 1021 Morehead Medical Dr Ste 70100, Charlotte, NC 28204-2990 | 2019-06-07 |
| 1104395029 | Christelle Pouani Kouemo | Pharmacist | 9816 Rocky Ford Club Rd, Charlotte, NC 28269-2860 | 2018-11-20 |
| Find all providers in CHARLOTTE | ||||
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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.