ROBERT KELLEY (NPI# 1255731063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255731063 |
| Entity Type | Individual |
| Full Name | ROBERT KELLEY |
| Credential | RPH |
| Practice Address |
4209 192nd Pl Sw Lynnwood WA 98036-5633 |
| Practice Telephone | 2532195983 |
| Mailing Telephone | 2532195983 |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00022010 | WA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457968240 | Robert Lee Kelley IIi | Occupational Therapist | 615 Brooks Mill Cir, Hermitage, TN 37076-4141 | 2020-09-25 |
| 1972008779 | Robert H. Kelley | Social Worker | 73 Page Rd, Needham, MA 02492 | 2018-03-26 |
| 1093957334 | Robert Stanislaw Kelley | Student in an Organized Health Care Education/Training Program | 5637 Peachtree Dunwoody Road, Suite 700, Atlanta, GA 30342 | 2009-04-01 |
| 1528250081 | Robert Paul Kelley | Family Medicine | 1123 Richelieu Lane, Houston, TX 77018-2019 | 2007-08-17 |
| 1477697878 | Robert O. Kelley | Counselor | 225 Lee Hook Rd, Lee, NH 03824-6415 | 2007-02-18 |
| 1093876609 | Robert Long Kelley | Psychiatry & Neurology | 20 Hope Ave Suite 201, Waltham, MA 20453 | 2006-12-13 |
| 1588777924 | Robert D Kelley | Pharmacist | 38 E Main St, Sylva, NC 28779-3040 | 2006-08-17 |
| 1568936219 | Robert Bruce Kelley Jr. | Counselor | 34 W 2nd St, Ashland, OH 44805-2201 | 2019-01-16 |
| 1093126427 | Robert T Kelley | Family Medicine | 4650 Signal Tree Dr Ste 1200, Timnath, CO 80547-4908 | 2014-05-20 |
| 1457693947 | Robert P Kelley | Counselor | 55 Lake Ave N, Umass Memorial Medical Center, Psychiatry, Worcester, MA 01655-0002 | 2013-03-22 |
| Street Address |
4209 192ND PL SW |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-5633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| 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 |
|---|---|---|---|---|
| 1295381143 | Peter Y Hyun | Pharmacist | 18322 48th Ave W, Lynnwood, WA 98037-4614 | 2019-08-15 |
| 1346707569 | Jesse Aidan Dinh | Pharmacist | 15928 14th Ave W, Lynnwood, WA 98087-6518 | 2019-02-24 |
| 1093281685 | Quynh Nguyen T Vo | Pharmacist | 5017 176th St Sw Apt B, Lynnwood, WA 98037-9238 | 2018-10-22 |
| 1518445030 | Mackhai Nguyen | Pharmacist | 1230 181st Pl Sw, Lynnwood, WA 98037-4958 | 2018-08-06 |
| 1598204950 | Adam Taborga | Pharmacist | 4100 194th St Sw, Lynnwood, WA 98036-4613 | 2017-02-18 |
| 1770034910 | Emanual Kahsai | Pharmacist | 18422 41st Pl W, Lynnwood, WA 98037 | 2016-10-24 |
| 1336694835 | Chuyi Luliang | Pharmacist | 19500 Highway 99 Ste 110, Lynnwood, WA 98036-5241 | 2016-08-24 |
| 1922459890 | Jordan Dieckmann | Pharmacist | 16605 6th Ave W, Apt M308, Lynnwood, WA 98037-9372 | 2016-06-22 |
| 1174973465 | Kerolos Adel Y Soliman | Pharmacist | 14912 17th Pl W, Lynnwood, WA 98087-8795 | 2016-06-16 |
| 1043675465 | Yasaman Sotoodian | Pharmacist | 2610 164th St Sw, Lynnwood, WA 98087-7845 | 2015-12-30 |
| Find all providers in LYNNWOOD | ||||
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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.