WILLIAM RUDOLPH ELLIOTT RPH NPI 1831438795

NPI Information

NPI: 1831438795
Provider Name: WILLIAM RUDOLPH ELLIOTT, RPH
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
6331 EASTWOOD LN
JACKSONVILLE, FL
ZIP 32211
Phone: (904) 314-4022
Get Directions

William Rudolph Elliott, RPH is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Jacksonville, FL. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. William Rudolph Elliott, RPH NPI is 1831438795. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6331 EASTWOOD LN
JACKSONVILLE, FL
ZIP 32211-918
Phone: (904) 314-4022

The enumeration date for this NPI number is 2/12/2013 and was last updated on 3/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	183500000X	Pharmacist		PS19392	FLORIDA	No
2	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	PS19392	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PS19392	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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