MRS. JILL NICOLE KELLEY (NPI# 1073836615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073836615 |
| Entity Type | Individual |
| Full Name | MRS. JILL NICOLE KELLEY |
| Credential | RPH |
| Practice Address |
5121 Forest Ridge Dr Mc Donald PA 15057-3523 |
| Practice Telephone | 4123039089 |
| Mailing Telephone | 4123039089 |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RP0007070 | WV | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 03326679 | OH | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RP043220L | PA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043476229 | Jill Kelley | Speech-Language Pathologist | 5221 Pond View Way, Canandaigua, NY 14424-8170 | 2008-08-06 |
| 1790814374 | Jill Suzanne Kelley | Counselor | 5003 Una Rd, Hartsville, SC 29550-1954 | 2007-03-02 |
| 1144865387 | Jill E Kelley | Physical Therapy Assistant | 834 N Socora St Ste 1, Wichita, KS 67212-3279 | 2019-11-12 |
| 1609015114 | Jill Marie Kelley | Specialist | 81 Bridge St, Yarmouth, ME 04096-6744 | 2009-02-08 |
| Street Address |
5121 FOREST RIDGE DR |
| City | MC DONALD |
| State | PA |
| Zip Code | 15057-3523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467816108 | Julie A Blunkosky Lcsw | Community/Behavioral Health | 179 Cumer Road, Mcdonald, PA 15057 | 2016-04-08 |
| 1750799029 | Allegheny Medical Transport Inc | Ambulance | 126 Sygan Road, Mcdonald, PA 15057 | 2014-07-30 |
| 1386904415 | Jessica Lynn Wittebort | Occupational Therapy Assistant | 3141 Robinson Run Road, Mcdonald, PA 15057 | 2012-05-23 |
| 1326322330 | Elaina Marie Maleski | Clinical Nurse Specialist | 17 Locust Grove Ln, Mcdonald, PA 15057 | 2011-10-10 |
| 1518096890 | Carolyn E Mcchesney | Speech-Language Pathologist | 110 Anchor Ct, Mc Donald, PA 15057 | 2007-03-05 |
| 1871609180 | V Lynne Cochran | Dentist | 101 North Mcdonald Street, Suite 100, Mcdonald, PA 15057 | 2006-08-21 |
| 1902821457 | Equus Physical Therapy Inc | Physical Therapist | 113 East Lincoln Avenue, Mcdonald, PA 15057 | 2006-07-13 |
| 1518972447 | Giant Eagle Inc | Pharmacy | 200 Station St, Mc Donald, PA 15057-1165 | 2006-07-29 |
| 1811540693 | Cherry Valley Smiles, Inc. | Clinic/Center | 101 N Mcdonald St, Mc Donald, PA 15057-1200 | 2019-07-19 |
| 1053763540 | Sarah Weber Ogburn | Dentist | 101 N Mcdonald St Ste 100, Mc Donald, PA 15057-1200 | 2016-07-07 |
| Find all providers in zip 15057 | ||||
| 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 |
|---|---|---|---|---|
| 1649812991 | Marie Yarzab | Pharmacist | 303 W Barr St, Mc Donald, PA 15057-1423 | 2019-10-08 |
| 1215591045 | Ashley Dudley | Pharmacist | 303 W Barr St, Mc Donald, PA 15057-1423 | 2019-04-26 |
| 1598813610 | Paula Camarote | Pharmacist | 303 W Barr St, Mc Donald, PA 15057-1423 | 2007-01-08 |
| 1780741124 | Joseph Sobolewski | Pharmacist | 303 W Barr St, Mc Donald, PA 15057-1423 | 2007-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1376144212 | Gyuzel Gold | Pharmacist | 3668 Hancock Ln, Doylestown, PA 18902-6544 | 2020-11-06 |
| 1619578424 | Laurie A Fisher | Pharmacist | 325 W Freedom Ave, Burnham, PA 17009-1846 | 2020-11-06 |
| 1073114880 | Lawrence Roettenbacher | Pharmacist | 3560 Route 611 Ste 105, Bartonsville, PA 18321-9452 | 2020-11-06 |
| 1104427186 | Hannah Bae | Pharmacist | 315 N York Rd, Willow Grove, PA 19090-2621 | 2020-11-05 |
| 1285235283 | Luann Orehek Reno | Pharmacist | 567 Pa- 100 N, Bechtelsville, PA 19505 | 2020-11-05 |
| 1558962571 | Ashley Lynn Martire | Pharmacist | 3015 W Emaus Ave, Allentown, PA 18103-7107 | 2020-11-05 |
| 1184225237 | Scott Borkenhagen | Pharmacist | 3722 Nazareth Rd, Easton, PA 18045-8340 | 2020-11-05 |
| 1114528189 | Andrew Francis Christine | Pharmacist | 830 N Us Route 15, Dillsburg, PA 17019-1617 | 2020-11-05 |
| 1073114070 | Casey Joe Kulago | Pharmacist | 2121 S Atherton St, State College, PA 16801-7610 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
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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.