Provider Demographics
NPI:1487176897
Name:JONES, ELLEN SCOTT (RPH)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:SCOTT
Last Name:JONES
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ELLEN
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH
Mailing Address - Street 1:289 NORMAN RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36037-6117
Mailing Address - Country:US
Mailing Address - Phone:334-382-8773
Mailing Address - Fax:
Practice Address - Street 1:501 WILLOW LN
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:AL
Practice Address - Zip Code:36037-8021
Practice Address - Country:US
Practice Address - Phone:334-382-7456
Practice Address - Fax:334-382-7458
Is Sole Proprietor?:No
Enumeration Date:2017-07-07
Last Update Date:2017-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10870183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist