CHRISTOPHER KELLY (NPI# 1093136558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093136558 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER KELLY |
| Practice Address |
4275 Summers Place Dr Olive Branch MS 38654-7284 |
| Practice Telephone | 6628745016 |
| Mailing Telephone | 6628745016 |
| Enumeration Date | 2013-12-30 |
| Last Update Date | 2013-12-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | P120912 | MS | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 34090 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588023857 | Christopher Kelly | Counselor | 630 Park St Apt B, Charlottesville, VA 22902-4642 | 2016-02-16 |
| 1538589486 | Christopher Kelly | Occupational Therapy Assistant | 10 Trap Rock Cir, New City, NY 10956-6919 | 2014-04-18 |
| 1548695380 | Christopher Kelly | Acupuncturist | 9 Chandler Rd, Andover, MA 01810-2814 | 2013-09-12 |
| 1588923247 | Christopher Kelly | Specialist | 475 Atkinson, 1405, Honolulu, HI 96814 | 2012-05-15 |
| 1720122583 | Christopher P Kelly | Surgery | 11464 S Parkway Plaza Dr Ste 300, South Jordan, UT 84095-6053 | 2007-02-16 |
| 1356314991 | Christopher L Kelly | Specialist | 1830 14th Ave S, Birmingham, AL 35205-4969 | 2006-02-13 |
| 1073511788 | Christopher B. Kelly | Specialist | 3330 Preston Ridge Rd Ste 240, Alpharetta, GA 30005-4540 | 2005-07-07 |
| 1396741344 | Christopher Kelly | Ophthalmology | 366 Colt Hwy, Farmington, CT 06032-2547 | 2005-06-23 |
| 1649870536 | Christopher Francis Kelly | Physical Therapist | 4007 Merrick Rd, Seaford, NY 11783-2831 | 2020-10-29 |
| 1306443106 | Christopher Kelly | Physical Therapist | 205 Clark Ave Ste 4, Ames, IA 50010-3311 | 2020-10-05 |
| Street Address |
4275 SUMMERS PLACE DR |
| City | OLIVE BRANCH |
| State | MS |
| Zip Code | 38654-7284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093366213 | Latonya Shontae Binion | Home Health | 5915 Brice Cove North, Olive Branch, MS 38654 | 2019-09-28 |
| 1356828677 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 688 Goodman Rd, Ste 123, Olive Branch, MS 38654 | 2018-07-20 |
| 1629565684 | Alexis Summerville Mcdavis | Pharmacist | 7950 Craft Goodman Frontage Rd, Olive Branch, MS 38654 | 2018-04-16 |
| 1194237206 | Exos Physical Therapy and Sports Medicine, LLC | Physical Therapist | 6542 Goodman Rd, Olive Branch, MS 38654 | 2017-10-30 |
| 1609386515 | Laken Hood Richardson | Physical Therapist | 9085 East Sandidge Cove, Suite 250, Olive Branch, MS 38654 | 2017-10-05 |
| 1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
| 1023557865 | Michael Patrick Mccallum | Counselor | 9320 Railroad Ave., Olive Branch, MS 38654 | 2017-02-13 |
| 1891179768 | Desoto Children's Clinic - Olive Branch | Pediatrics | 7145 Goodman Road, Olive Branch, MS 38654 | 2015-07-10 |
| 1891185203 | Kristina Harper | Midwife | 9086 Pigeon Roost Rd Ste C, Olive Branch, MS 38654 | 2015-01-23 |
| 1275955098 | Global Medical | Durable Medical Equipment & Medical Supplies | 6229 Hwy 305 Ste L, Olivebranch, MS 38654 | 2014-01-14 |
| Find all providers in zip 38654 | ||||
| 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 |
|---|---|---|---|---|
| 1336788371 | Edward Hughes Mccullough II | Pharmacist | 5702 Jason Cv, Olive Branch, MS 38654-6953 | 2019-12-21 |
| 1649820390 | Mandalyn Mccullough | Pharmacist | 4722 Pleasant Breeze Dr, Olive Branch, MS 38654-0025 | 2019-09-16 |
| 1407328982 | Steven Perkins | Pharmacist | 9065 Sandidge Center Cv Ste A, Olive Branch, MS 38654-3574 | 2018-12-21 |
| 1629566625 | Christi Adams | Pharmacist | 8678 Whites Crossing Dr, Olive Branch, MS 38654-7377 | 2018-04-25 |
| 1629565684 | Alexis Summerville Mcdavis | Pharmacist | 7950 Craft Goodman Frontage Rd, Olive Branch, MS 38654 | 2018-04-16 |
| 1609388941 | Patricia Lee Steele | Pharmacist | 9927 Sequoia Ln, Olive Branch, MS 38654-3211 | 2017-10-26 |
| 1679881916 | Leisha Sykes | Pharmacist | 7105 Cockrum St, Olive Branch, MS 38654-1629 | 2010-09-21 |
| 1972826311 | Brian A Millikin | Pharmacist | 7950 Craft Goodman Frontage Road, Olive Branch, MS 38654 | 2010-03-11 |
| 1790805794 | Franklin Gail Burton II | Pharmacist | 7253 Goodman Rd, Olive Branch, MS 38654-1906 | 2007-03-31 |
| 1669083457 | Kevin Patel | Pharmacist | 7030 Hacks Cross Rd, Olive Branch, MS 38654-4471 | 2020-08-14 |
| Find all providers in OLIVE BRANCH | ||||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
Please comment or provide details below to improve the information on CHRISTOPHER KELLY.
| 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.