Individual provider · Type 1 NPI
Johanna Kristin Ellerup, PharmD
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · North Massapequa, NY
Practice location
99 N Maple St
North Massapequa, NY 11758-2636
Fax (516) 799-8286
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist | 183500000X | 079733 (NY) |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary | 1835P0018X | 055468 (NY) |
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
About NPI 1497957690
Johanna Kristin Ellerup, PharmD's National Provider Identifier is 1497957690, issued on Jun 1, 2007. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in North Massapequa, NY. The record was last updated on May 12, 2011.