PATRICK KELLY (NPI# 1154818177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154818177 |
| Entity Type | Individual |
| Full Name | PATRICK KELLY |
| Credential | RPH, PHARM.D. |
| Practice Address |
2103 Veterans Blvd Dublin GA 31021-7502 |
| Mailing Address |
2797 W Alcorn Farm Rd Chester GA 31012-9608 |
| Practice Telephone | 8662297389 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2019-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 7870 | SC | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | RPH030123 | GA | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2797 W Alcorn Farm Rd, Chester, GA 310129608 | 4788754405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730672833 | Patrick John Kelly | Dentist | 244 Fm 306 Ste 118, New Braunfels, TX 78130-5487 | 2018-06-13 |
| 1851895031 | Patrick Harry Kelly | Counselor | 5435 Bull Valley Rd Ste 230, Mchenry, IL 60050-7435 | 2018-03-21 |
| 1508391665 | Patrick Joel Kelly | Behavior Technician | 814 D St Apt 3, Sacramento, CA 95814-0722 | 2017-04-26 |
| 1720409824 | Patrick John Kelly | Physician Assistant | 3318 Broadway, Astoria, NY 11106-1806 | 2013-12-17 |
| 1881951622 | Patrick S Kelly | Dentist | 9860 Westpoint Dr Ste 100, Indianapolis, IN 46256-3398 | 2012-04-18 |
| 1821365198 | Patrick John Kelly | Physical Therapist | 1841 Broadway Rm 507, Suite 507, New York, NY 10023-7685 | 2011-11-30 |
| 1881971919 | Patrick Ryan Kelly | Registered Nurse | 1600 North Drive, Sioux Falls, SD 57117 | 2011-11-03 |
| 1821322710 | Patrick Kelly | Technician/Technologist | 1490 W Patapsco Ave, Baltimore, MD 21230-3400 | 2009-09-24 |
| 1457518003 | Patrick Britton Kelly | Dentist | 5352b Highway 90 W, Mobile, AL 36619-4202 | 2008-05-21 |
| 1306026919 | Patrick Francis Kelly | Pediatrics | 87 Cambridgepark Dr, Y2010, Cambridge, MA 02140-2311 | 2007-11-12 |
| Street Address |
2103 VETERANS BLVD |
| City | DUBLIN |
| State | GA |
| Zip Code | 31021-7502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154340032 | Charles Richard Noplis Sr. | Pharmacist | 2103 Veterans Blvd, Dublin, GA 31021-7502 | 2006-07-19 |
| 1528424819 | Anesha N Merriweather | Pharmacist | 2103 Veterans Blvd, Dublin, GA 31021-7502 | 2016-01-03 |
| 1346636446 | Kavita Patel | Pharmacist | 2103 Veterans Blvd, Unit #2, Dublin, GA 31021-7502 | 2015-04-15 |
| 1346639465 | Doryn Roche Clark | Pharmacist | 2103 Veterans Blvd, Unit 2, Dublin, GA 31021-7502 | 2015-01-13 |
| 1114281722 | Shambrea Latavia Washington | Pharmacist | 2103 Veterans Blvd, Dublin, GA 31021-7502 | 2012-06-28 |
| 1821350497 | Department of Veterans Affairs Meds By Mail | Department of Veterans Affairs (VA) Pharmacy | 2103 Veterans Blvd, Unit 2, Dublin, GA 31021-7502 | 2012-06-11 |
| 1558647974 | Terri Lynne Moorman | Pharmacist | 2103 Veterans Blvd, Unit 2, Dublin, GA 31021-7502 | 2011-10-31 |
| 1104118645 | James Isaac Rogers | Pharmacist | 2103 Veterans Blvd, Suite 2, Dublin, GA 31021-7502 | 2011-05-03 |
| 1154621357 | Prince Glenn Hale | Pharmacist | 2103 Veterans Blvd, Dublin, GA 31021 | 2010-10-22 |
| 1497065056 | Kelli S Christian | Pharmacist | 2103 Veterans Blvd, Dublin, GA 31021-7502 | 2010-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497213748 | Ronald E. Johnson | Peer Specialist | Carl Vinson Va Medical Center, 1826 Veterans Blvd., Dublin, GA 31021 | 2019-03-06 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407341522 | Empower Psychiatry & Weight Loss, LLC | Nurse Practitioner | 112 Rowe St Ste B, Dublin, GA 31021 | 2018-06-30 |
| 1619462207 | Kara Emily Frost | Speech-Language Pathologist | 1406 Bellevue Rd, Dublin, GA 31021 | 2018-06-26 |
| 1376035410 | Owens Speech Services, LLC | Speech-Language Pathologist | 401 Barfield Court, Dublin, GA 31021 | 2018-06-05 |
| 1558878884 | Tattnall Hospital Company, LLC | Neurological Surgery | 242 Industrial Blvd, Dublin, GA 31021 | 2018-01-09 |
| 1376991000 | Eatonton Facility Development Company, LLC | Hospice, Inpatient | 155 Greensboro Rd, Eatonton, GA 31021 | 2016-06-03 |
| 1801261177 | Jones Community Health Center, LLC | Clinic/Center | 115 Shadow Pond, Dublin, GA 31021 | 2015-12-11 |
| 1508237561 | Cancer Center of Middle Georgia | Specialist | 26 Erin Office Park, Dublin, GA 31021 | 2015-10-15 |
| 1922477249 | Mickey Jackson | Non-emergency Medical Transport (VAN) | 610 John Robinson Tl., Dublin, GA 31021 | 2015-09-16 |
| Find all providers in zip 31021 | ||||
| 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 |
|---|---|---|---|---|
| 1407454168 | Stion Lairsey | Pharmacist | 1100 Hillcrest Pkwy Ste A, Dublin, GA 31021-4373 | 2020-10-15 |
| 1689290900 | Veronica Grace Sunderman | Pharmacist | 4124 Clark St, Dublin, OH 43017-5128 | 2020-06-23 |
| 1073138871 | Rashi Sethi | Pharmacist | 5764 Hayden Run Blvd, Dublin, OH 43016-1667 | 2020-06-08 |
| 1437770245 | Robert Pfeifer | Pharmacist | 6746 Mill Springs Ct, Dublin, OH 43016-8014 | 2020-05-04 |
| 1700421781 | Lynn Janssen | Pharmacist | 6185 Shamrock Ct Ste A, Dublin, OH 43016-1275 | 2019-11-13 |
| 1902384811 | Nieka Jackson | Pharmacist | 75 Woodlawn Dr, Apt. C-1, Dublin, GA 31021 | 2018-08-02 |
| 1407374937 | Samantha Powell | Pharmacist | 246 Wells Cir, Dublin, GA 31021-0208 | 2017-09-05 |
| 1881130854 | Rupal Patel | Pharmacist | 2856 E Castle Pines Ter, Dublin, CA 94568-1176 | 2017-01-13 |
| 1225580616 | Brandy Lockhart | Pharmacist | 4831 Ebb Hall Rd, Dublin, VA 24084-5620 | 2016-11-01 |
| 1023568268 | Laura Eickholt | Pharmacist | 7500 Hospital Dr Ste1720, Dublin, OK 43017 | 2016-10-12 |
| Find all providers in DUBLIN | ||||
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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.