AMY KRISTINE KELLEY (NPI# 1154655512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154655512 |
| Entity Type | Individual |
| Full Name | AMY KRISTINE KELLEY |
| Credential | RPH |
| Practice Address |
3728 N Prince St Clovis NM 88101-9744 |
| Mailing Address |
2320 Fairway Ter Clovis NM 88101-2724 |
| Practice Telephone | 5757692389 |
| Mailing Telephone | 5757634161 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2014-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5544 | NM | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | NEW MEXICO BOARD OF PHARMACY LICENSE NUMBER | 5544 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871140004 | Amy J Kelley | Behavioral Analyst | 28 Princess Pine Ln, Milford, MA 01757-1350 | 2019-08-22 |
| 1265816136 | Amy Kelley | Pharmacist | 19258 Seneca Trl, Marlinton, WV 24954-6519 | 2015-07-10 |
| 1447465398 | Amy Kelley | Physical Therapist | 11 Fox Wood Rd, Trumbull, CT 06611-4012 | 2007-05-14 |
| 1710458187 | Amy Kelley | Behavior Technician | 400 Mobil Ave Ste A3, Camarillo, CA 93010-6369 | 2018-12-11 |
| 1619328044 | Amy Kelley | Social Worker | 428 6th Ave, Lewiston, ID 83501-2355 | 2016-06-27 |
| 1740548338 | Amy R Kelley | Psychiatry & Neurology | 304 Community Dr, Apt 3n, Manhasset, NY 11030-3834 | 2012-05-02 |
| 1851658488 | Amy S. Kelley | Counselor | 300 Veazey Dr, Butner, NC 27509-1668 | 2012-04-20 |
| 1447568795 | Amy Kathleen Kelley | Pharmacist | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2010-09-21 |
| 1972735231 | Amy Alissa Kelley | Speech-Language Pathologist | 3001 E Evesham Rd, Voorhees, NJ 08043-9547 | 2009-08-19 |
| 1447493499 | Amy S Kelley | Counselor | 1721 E Osage Rd, Suite 200, Derby, KS 67037-2092 | 2009-04-07 |
| Street Address |
3728 N PRINCE ST |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-9744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982621025 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3728 N Prince St, Clovis, NM 88101-9744 | 2006-07-16 |
| 1699300368 | Hanako Hirose Pitera | Pharmacist | 3728 N Prince St, Clovis, NM 88101-9744 | 2020-03-03 |
| 1336592096 | Andrea Marshall | Pharmacist | 3728 N Prince St, Clovis, NM 88101-9744 | 2016-07-18 |
| 1073969796 | Sharon Suan | Pharmacist | 3728 N Prince St, Clovis, NM 88101-9744 | 2016-05-11 |
| 1124489414 | Brooke Ondov | Pharmacist | 3728 N Prince St, Clovis, NM 88101-9744 | 2016-03-14 |
| 1679808547 | Cathy J Watkins | Pharmacist | 3728 N Prince St, Clovis, NM 88101-9744 | 2009-10-12 |
| 1922295419 | Larry Bussanmas | Optometrist | 3728 N Prince St, Clovis, NM 88101-9744 | 2007-09-27 |
| 1992883946 | Wal-mart Stores East, Lp | Technician/Technologist | 3728 N Prince St, Clovis, NM 88101-9744 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| 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 |
|---|---|---|---|---|
| 1730791260 | Gabriela Dutra-clarke | Pharmacist | 1712 Burgan Ave, Clovis, CA 93611-3158 | 2020-08-17 |
| 1285254045 | Inga Sarkisian | Pharmacist | 3445 Amanecer Ave, Clovis, CA 93619-5189 | 2020-04-22 |
| 1952932923 | Tia Tang | Pharmacist | 12246 N Via Piemonte Ave, Clovis, CA 93619-8389 | 2020-01-29 |
| 1235798695 | Lien Nguyen | Pharmacist | 3522 Smith Ln, Clovis, CA 93619-4311 | 2019-06-10 |
| 1033773122 | Mao Thao | Pharmacist | 2133 Shaw Avenue, Clovis, CA 93611 | 2019-04-24 |
| 1518449289 | Colton Ray Dant | Pharmacist | 2401 W 21st St, Clovis, NM 88101-2006 | 2018-08-30 |
| 1407369275 | Tony Minh Ta | Pharmacist | 159 W Shaw Ave, Clovis, CA 93612-3726 | 2017-11-14 |
| 1023521291 | Mei Feng Guan | Pharmacist | 745 N Fowler Ave Apt 230, Clovis, CA 93611-6876 | 2017-11-10 |
| 1659809507 | Allen Keshishian Namagerdi | Pharmacist | 111 W 9th St Apt 272, Clovis, CA 93612-1734 | 2017-05-23 |
| 1417482464 | Tiffanie Guy | Pharmacist | 2810 Willow Ave Apt 206, Clovis, CA 93612 | 2017-04-27 |
| Find all providers in CLOVIS | ||||
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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.