KRYSTAL LYNN ELLIS CPHT
NPI 1124596630
Pharmacy Technician in Houma, LA

Q: What is Krystal Ellis's NPI number?

The NPI number for Krystal Ellis is 1124596630. It was assigned to this individual provider in the NPPES registry on November 2, 2018.

Q: What is Krystal Ellis's specialty?

The primary specialty registered for this NPI is Pharmacy Technician with taxonomy code 183700000X.

Q: When was this NPI record last updated?

The NPPES record for Krystal Ellis was last updated on November 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 02, 2018

6096 W PARK AVE, HOUMA, LA 70364(985) 876-2584(985) 876-5050 Get Directions Write a Review

NPPES record last updated: November 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Krystal Lynn Ellis Cpht NPPES

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

KRYSTAL LYNN ELLIS CPHT (NPI 1124596630) is an individual pharmacy technician in Houma, Louisiana, licensed in Louisiana (6462) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1124596630

Entity TypeIndividualFemale

Primary Taxonomy183700000X

Provider Legal NameKRYSTAL LYNN ELLISCredential: CPHT

Location Address6096 W PARK AVEHouma, LA 70364-1808

Mailing Address6096 W Park AveHouma, LA 70364-1808 · (985) 876-2584 · Fax (985) 876-5050

Phone(985) 876-2584

Fax(985) 876-5050

Sole ProprietorNo

Enumeration DateNovember 2, 2018

✔ NPI 1124596630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy TechnicianPharmacy Service Providers

Taxonomy Code183700000X

License✔ Licensed in LA · 6462

Definition

A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

6096 W PARK AVE, Houma, LA 70364

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Other Identifiers 1

Other6462PTLA · Board Of Pharmacy Lic# 6462pt

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROADMOOR DRUG CENTER INC

Pharmacy (Community/Retail Pharmacy)

6096 W PARK AVE
HOUMA, LA 70364

Terrebonne Parish (985) 876-2584

MR. CURTIS JOSEPH BADEAUX JR. RPH

Pharmacist

6096 W PARK AVE
HOUMA, LA 70364

Terrebonne Parish (985) 876-2584

MR. DEAN PATRICK PELLEGRIN

Pharmacist

6096 W PARK AVE
HOUMA, LA 70364

Terrebonne Parish (985) 876-2584

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 Krystal Ellis's NPI number?

The NPI number for Krystal Ellis is 1124596630. It was assigned to this individual provider in the NPPES registry on November 2, 2018.

Where is Krystal Ellis located?

Krystal Ellis practices at 6096 W Park Ave, Houma, LA 70364. The listed phone number is (985) 876-2584.

What is Krystal Ellis's specialty?

The primary specialty registered for this NPI is Pharmacy Technician with taxonomy code 183700000X.

When was this NPI record last updated?

The NPPES record for Krystal Ellis was last updated on November 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.