KELLY MITCHELL (NPI# 1053967059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053967059 |
| Entity Type | Individual |
| Full Name | KELLY MITCHELL |
| Practice Address |
609 Luzerne St Scranton PA 18504-2626 |
| Mailing Address |
106 Maple Ln Pittston PA 18640-2810 |
| Practice Telephone | 5703426411 |
| Mailing Telephone | 5702391348 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP453728 | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676061 | Kelly Marie Mitchell | Registered Nurse | 1012 W Villas Dr, Vicksburg, MI 49097-9626 | 2020-07-21 |
| 1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
| 1063976660 | Kelly Erin Mitchell | Nurse Practitioner | 7401 Beaufort Springs Dr, Suite 205, Richmond, VA 23225 | 2019-01-28 |
| 1073089769 | Kelly Jean Mitchell | Home Health Aide | 1293 Niagara Ave, Akron, OH 44305-2774 | 2018-10-19 |
| 1306266820 | Kelly Mitchell | Counselor | 3540 S Highway 27 Ste 4, Somerset, KY 42501-3124 | 2014-04-23 |
| 1467877068 | Kelly Mitchell | Developmental Therapist | 191 Blue Top Rd, Jacksonville, NC 28540-2948 | 2014-02-19 |
| 1104266188 | Kelly Leshawn Mitchell | Licensed Practical Nurse | 238 Lawrence Ave, Apartment#9, Lawrence, NY 11559-1297 | 2013-07-05 |
| 1891064085 | Kelly Mitchell | Contractor | 15194 21 Mile Rd, Tustin, MI 49688-8545 | 2011-12-19 |
| 1811146749 | Kelly Marie Mitchell | Social Worker | Bia Road # 7 Building #152, Belcourt, ND 58316-1970 | 2008-09-16 |
| 1902467848 | Kelly Kathleen Mitchell | Registered Nurse | 10802 College Place, Cerritos, CA 90703 | 2019-06-21 |
| Street Address |
609 LUZERNE ST |
| City | SCRANTON |
| State | PA |
| Zip Code | 18504-2626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407145071 | Judith Galenas Pronko | Pharmacist | 609 Luzerne St, Scranton, PA 18504-2626 | 2011-04-04 |
| 1356802516 | Man-ching Anna Tin | Pharmacist | 609 Luzerne St, Scranton, PA 18504-2626 | 2019-03-28 |
| 1942791413 | Heidi Joan Yanoski | Pharmacist | 609 Luzerne St, Scranton, PA 18504-2626 | 2018-05-21 |
| 1679938641 | Riteaid | Pharmacist | 609 Luzerne St, Scranton, PA 18504-2626 | 2015-12-17 |
| 1336430974 | Barbara Karen Lyons | Pharmacist | 609 Luzerne St, Scranton, PA 18504-2626 | 2011-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972141984 | Stephanie Weisel | Counselor | 228 South Main Street, Scranton, PA 18504 | 2019-12-20 |
| 1326517889 | Rebecca L Connor | Chiropractor | 2953 Frink Street, Scranton, PA 18504 | 2018-11-14 |
| 1598217028 | Fresenius Medical Care West Scranton, LLC | Clinic/Center | 321 Meridian Ave, Scranton, PA 18504 | 2016-11-01 |
| 1902296999 | Heart To Heart D/b/a Caring Matters Home Care | In Home Supportive Care | 118 South Main Avenue, Scranton, PA 18504 | 2015-01-28 |
| 1366846156 | Roy Gilgallon | Counselor | 431 Rear Wyoming Ave, Scranton, PA 18504 | 2014-10-22 |
| 1659706596 | Megan Oswald | Speech-Language Pathologist | 1024 Acker Ave, Scranton, PA 18504 | 2013-09-11 |
| 1912272261 | Shannon Ritterbusch | Occupational Therapist | 1252 Rundle, Scranton, PA 18504 | 2012-03-20 |
| 1407992761 | Vip Look Inc | Durable Medical Equipment & Medical Supplies | 455 N Main Ave, Scranton, PA 18504 | 2007-01-30 |
| 1073604443 | Patrick F Cioni | Counselor | 138 S Cameron Avenue, Scranton, PA 18504 | 2006-09-28 |
| 1104935808 | Vincent Luciano Ross | Pediatrics | 442 N Main Ave, Scranton, PA 18504 | 2006-08-29 |
| Find all providers in zip 18504 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619588969 | Stephen Thomas Sawka | Pharmacist | 1528 Thackery St, Scranton, PA 18504-1246 | 2020-08-11 |
| 1699140616 | Amanda Holyk | Pharmacist | 1577 E Mountain Rd, Scranton, PA 18505-2727 | 2015-12-02 |
| 1548644164 | Marie Domiano | Pharmacist | 201 Smallacombe Drive, Scranton, PA 18508 | 2015-07-14 |
| 1073929998 | Laura Hart | Pharmacist | 1111 N Main Ave, Scranton, PA 18508-2109 | 2014-07-11 |
| 1851681050 | Ellen Bridget Byrne | Pharmacist | 1080 S Washington Ave, Scranton, PA 18505-3812 | 2011-04-10 |
| 1972893295 | Robert Howell | Pharmacist | 1777 N Keyser Ave, Scranton, PA 18508-1215 | 2011-04-08 |
| 1639468333 | Keith M Carson | Pharmacist | 500 N Main Ave, Scranton, PA 18504-1866 | 2011-04-04 |
| 1407145071 | Judith Galenas Pronko | Pharmacist | 609 Luzerne St, Scranton, PA 18504-2626 | 2011-04-04 |
| 1902105752 | Brian Joseph Gammaitoni | Pharmacist | 10 Oakwood Dr, Oakwood Estates, Scranton, PA 18504-9500 | 2011-03-18 |
| 1518067842 | Jill Touch | Pharmacist | 1613 Jackson St, Scranton, PA 18504-3410 | 2006-09-25 |
| Find all providers in SCRANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.