CLARENCE PEACOCK ELLISON JR.
NPI 1245914357
Pharmacist in Goldsboro, NC

Active since June 12, 2023
1103 WAYNE MEMORIAL DR, GOLDSBORO, NC 27534(919) 735-0400(919) 735-3530 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clarence Peacock Ellison Jr. NPPES

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

CLARENCE PEACOCK ELLISON JR. (NPI 1245914357) is an individual pharmacist in Goldsboro, North Carolina, licensed in North Carolina (10902) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1245914357
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameCLARENCE PEACOCK ELLISON JR.
Location Address1103 WAYNE MEMORIAL DRGoldsboro, NC 27534-2957
Mailing Address1103 Wayne Memorial DrGoldsboro, NC 27534-2957 · (919) 735-0400 · Fax (919) 735-3530
Fax(919) 735-3530
Sole ProprietorYes
Enumeration DateJune 12, 2023
NPPES CertifiedJune 10, 2023
NPI 1245914357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NC · 10902
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.
1103 WAYNE MEMORIAL DR, Goldsboro, NC 27534

Other Providers at the Same Location NPPES

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

Pharmacy (Community/Retail Pharmacy)
1103 WAYNE MEMORIAL DR
GOLDSBORO, NC 27534

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 Clarence Ellison's NPI number?

The NPI number for Clarence Ellison is 1245914357. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Where is Clarence Ellison located?

Clarence Ellison practices at 1103 Wayne Memorial Dr, Goldsboro, NC 27534. The listed phone number is (919) 735-0400.

What is Clarence Ellison'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 Clarence Ellison was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.