Dr Johanna Kristin Ellerup, PHARMD is a
Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist based in North Massapequa, New York. Dr Johanna Kristin Ellerup is licensed to practice in New York (license number 055468) and her current practice location is
99 N Maple St, North Massapequa, New York. She can be reached at her office (for appointments etc.) via phone at
(516) 509-8185.
NPI number for Dr Johanna Kristin Ellerup is 1497957690 and her current mailing address is 99 N Maple St, N Massapequa, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1497957690.
Healthcare Provider's Profile
| Full Name | Dr Johanna Kristin Ellerup |
|---|
| Gender | Female |
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| Speciality | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist |
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| Location | 99 N Maple St, North Massapequa, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497957690
- Provider Enumeration Date: 06/01/2007
- Last Update Date: 05/12/2011
Medical Identifiers
Medical identifiers for Dr Johanna Kristin Ellerup such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497957690 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 079733 (New York) | Secondary |
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | 055468 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Johanna Kristin Ellerup is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Johanna Kristin Ellerup, PHARMD
99 N Maple St,
N Massapequa, NY 11758-2636
Ph: (516) 509-8185 | Dr Johanna Kristin Ellerup, PHARMD
99 N Maple St,
North Massapequa, NY 11758-2636
Ph: (516) 509-8185 |
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