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JESSICA DYANNE ELLIS
NPI 1659976546
Pharmacist in Locust Grove, OK

Active since December 01, 2020
800 E MAIN ST, LOCUST GROVE, OK 74352(918) 479-4815(918) 479-4817 Get Directions Write a Review

NPPES record last updated: December 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Dyanne Ellis NPPES

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

JESSICA DYANNE ELLIS (NPI 1659976546) is an individual pharmacist in Locust Grove, Oklahoma, licensed in Oklahoma (15269) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1659976546
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameJESSICA DYANNE ELLIS
Location Address800 E MAIN STLocust Grove, OK 74352-5184
Mailing Address800 E Main StLocust Grove, OK 74352-5184 · (918) 479-4815 · Fax (918) 479-4817
Phone(918) 479-4815
Fax(918) 479-4817
Sole ProprietorYes
Enumeration DateDecember 1, 2020
NPPES CertifiedDecember 1, 2020
✔ NPI 1659976546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in OK · 15269
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.
800 E MAIN ST, Locust Grove, OK 74352
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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.

CHOU THAO
Pharmacist
800 E MAIN ST
LOCUST GROVE, OK 74352
Mayes County (918) 479-4815
GABRIELLE PAGE
Pharmacist
800 E MAIN ST
LOCUST GROVE, OK 74352
Mayes County (918) 479-4815
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
800 E MAIN ST
LOCUST GROVE, OK 74352
Mayes County (918) 479-4815

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 Jessica Ellis's NPI number?

The NPI number for Jessica Ellis is 1659976546. It was assigned to this individual provider in the NPPES registry on December 1, 2020.

Where is Jessica Ellis located?

Jessica Ellis practices at 800 E Main St, Locust Grove, OK 74352. The listed phone number is (918) 479-4815.

What is Jessica 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 Jessica Ellis was last updated on December 1, 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.