MELISSA C KELLY (NPI# 1114405941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114405941 |
| Entity Type | Individual |
| Full Name | MELISSA C KELLY |
| Credential | PHARMD |
| Practice Address |
2610 E Route 66 Flagstaff AZ 86004-4305 |
| Practice Telephone | 9287731155 |
| Mailing Telephone | 9287731155 |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S023382 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487294435 | Melissa Kelly | Behavioral Analyst | 1360 Harrington Rd, Havertown, PA 19083-2035 | 2020-01-07 |
| 1336500545 | Melissa Kelly | Counselor | 206 E Reynolds Dr Ste F, Ruston, LA 71270-2873 | 2016-03-15 |
| 1407135692 | Melissa Charlotte Kelly | Speech-Language Pathologist | 14144 Furman Ave, Orlando, FL 32826-3550 | 2011-08-05 |
| 1801070008 | Melissa Kelly | Licensed Practical Nurse | 40717 Nys Rt 12, Clayton, NY 13624 | 2007-12-24 |
| 1487708384 | Melissa Ann Kelly | Marriage & Family Therapist | 21 New Britain Avenue, Suite 215, Rocky Hill, CT 06067 | 2007-01-22 |
| 1629171053 | Melissa Jane Kelly | Home Health Aide | 7 N Doan Ave, Painesville, OH 44077-1426 | 2006-09-07 |
| 1780208918 | Melissa Marie Kelly | Registered Nurse | 500 N Us Highway 89, Prescott, AZ 86313-5001 | 2020-06-03 |
| 1437704673 | Melissa Kelly | Social Worker | 7910 Downing Ave Ste 100, Bakersfield, CA 93308-5016 | 2019-08-05 |
| 1487122784 | Melissa Kelly | Nurse Practitioner | 15740 S Outer 40 Rd, Chesterfield, MO 63017-2004 | 2018-11-05 |
| 1902255789 | Melissa A Kelly | Genetic Counselor, MS | 593 Eddy St, Pob Room 234, Providence, RI 02903-4923 | 2016-06-13 |
| Street Address |
2610 E ROUTE 66 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86004-4305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114932456 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2610 E Route 66, Flagstaff, AZ 86004-4305 | 2006-07-29 |
| 1528577079 | Brady Raymond Tucker | Pharmacist | 2610 E Route 66, Flagstaff, AZ 86004-4305 | 2017-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
| 1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
| 1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
| 1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
| 1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
| 1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
| 1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
| 1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
| 1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
| 1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
| Find all providers in zip 86004 | ||||
| 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 |
|---|---|---|---|---|
| 1346698917 | Ashlee Pugliano | Pharmacist | 66 W Separation Canyon Trl, Flagstaff, AZ 86005-8362 | 2016-05-24 |
| 1952738643 | Independent Pharmacy Solutions | Pharmacist | 6100 N Smokerise Dr, Flagstaff, AZ 86004-2772 | 2013-09-26 |
| 1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
| 1528369758 | Jonathan S Gleeman | Pharmacist | 1500 E. Cedar Ave., Flagstaff, AZ 86004-1641 | 2010-11-04 |
| 1316247885 | Ronald H Burr | Pharmacist | 4910 N Highway 89, Flagstaff, AZ 86004 | 2010-10-29 |
| 1396059960 | Shannon Mccutcheon | Pharmacist | 1416 E Route 66, Flagstaff, AZ 86001-4820 | 2010-08-05 |
| 1285962209 | Dennis Peter Sperle | Pharmacist | 6300 N Us Highway 89, Flagstaff, AZ 86004-2761 | 2009-12-02 |
| 1235385998 | Chadwick Mellen | Pharmacist | 1300 W University Ave Ste 200, Flagstaff, AZ 86001-7228 | 2008-08-13 |
| 1710159041 | Douglas E. Baer Sr. | Pharmacist | 1808 N Edgewood St, Flagstaff, AZ 86004-8711 | 2008-03-27 |
| 1205025640 | Daniel Wayne Dalton | Pharmacist | 10332 E Palomino Rd, Flagstaff, AZ 86004-9102 | 2007-10-22 |
| Find all providers in FLAGSTAFF | ||||
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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.