JOHN ELLIS IV
NPI 1063013613
Pharmacist in Newnan, GA

Active since November 02, 2020
135 RUDDERS XING, NEWNAN, GA 30263(678) 994-2192 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Ellis Iv NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN ELLIS IV (NPI 1063013613) is an individual pharmacist in Newnan, Georgia, licensed in Georgia (RPH024504) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1063013613
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJOHN ELLIS IV
Location Address135 RUDDERS XINGNewnan, GA 30263-7032
Mailing Address135 Rudders XingNewnan, GA 30263-7032 · (678) 994-2192
Sole ProprietorYes
Enumeration DateNovember 2, 2020
NPPES CertifiedNovember 2, 2020
NPI 1063013613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in GA · RPH024504
Definition
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.
135 RUDDERS XING, Newnan, GA 30263

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Ellis's NPI number?

The NPI number for John Ellis is 1063013613. It was assigned to this individual provider in the NPPES registry on November 2, 2020.

Where is John Ellis located?

John Ellis practices at 135 Rudders Xing, Newnan, GA 30263. The listed phone number is (678) 994-2192.

What is John Ellis's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for John Ellis was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.