TARA K JELLISON PHARMD
NPI 1871082412
Pharmacist in Fort Wayne, IN

Active since May 09, 2018
11109 PARKVIEW PLAZA DRIVE -- ATTN PHARMACY, FORT WAYNE, IN 46845(260) 266-4404 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tara K Jellison Pharmd NPPES

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

TARA K JELLISON PHARMD (NPI 1871082412) is an individual pharmacist in Fort Wayne, Indiana, licensed in Indiana (26019460A) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1871082412
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameTARA K JELLISONCredential: PHARMD
Location Address11109 PARKVIEW PLAZA DRIVE -- ATTN PHARMACYFort Wayne, IN 46845
Mailing Address11109 Parkview Plaza Drive -- Attn PharmacyFort Wayne, IN 46845
Sole ProprietorYes
Enumeration DateMay 9, 2018
NPI 1871082412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IN · 26019460A
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.
11109 PARKVIEW PLAZA DRIVE -- ATTN PHARMACY, Fort Wayne, IN 46845

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 Tara Jellison's NPI number?

The NPI number for Tara Jellison is 1871082412. It was assigned to this individual provider in the NPPES registry on May 9, 2018.

Where is Tara Jellison located?

Tara Jellison practices at 11109 Parkview Plaza Drive -- Attn Pharmacy, Fort Wayne, IN 46845. The listed phone number is (260) 266-4404.

What is Tara Jellison'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 Tara Jellison was last updated on May 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.