COURTNEY W KELLY (NPI# 1295081933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295081933 |
| Entity Type | Individual |
| Full Name | COURTNEY W KELLY |
| Credential | PHARM D. |
| Practice Address |
132 Alden Rd Fairhaven MA 02719-4721 |
| Practice Telephone | 5089988000 |
| Practice Fax Number | 5089981136 |
| Mailing Telephone | 5089988000 |
| Mailing Fax Number | 5089981136 |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2012-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH233545 | MA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073903266 | Courtney Kelly | Behavioral Analyst | 7 E Creek Cir, Guilford, CT 06437-2821 | 2015-01-27 |
| 1215541438 | Courtney Kelly | Social Worker | 311 Albert Sabin Way, Cincinnati, OH 45229-2838 | 2020-09-04 |
| 1134743768 | Courtney Kelly | Speech-Language Pathologist | 5835 Harbour View Blvd, Suffolk, VA 23435-2601 | 2020-05-29 |
| 1235759077 | Courtney Kelly | Dentist | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | 2020-04-22 |
| 1457988594 | Courtney Alexandra Kelly | Student in an Organized Health Care Education/Training Program | 8414 Naab Rd Ste 200, Indianapolis, IN 46260-1972 | 2020-03-26 |
| 1407330913 | Courtney Parker Kelly | Dentist | 100 57th St S, Birmingham, AL 35212-2541 | 2018-09-20 |
| 1720595549 | Courtney E Kelly | Nurse Practitioner | 1550 S Water St, Starke, FL 32091-4511 | 2018-01-02 |
| 1578966735 | Courtney Kelly | Nurse Anesthetist, Certified Registered | 4150 Nelson Rd Ste A4, Lake Charles, LA 70605-4169 | 2014-10-02 |
| 1831426725 | Courtney Lee Kelly | Nurse Practitioner | 8808 Balboa Ave, San Diego, CA 92123-1592 | 2009-11-12 |
| 1265628275 | Courtney Ann Kelly | Physician Assistant | 350 Surryse Rd, Suite 100, Lake Zurich, IL 60047-3217 | 2007-09-24 |
| Street Address |
132 ALDEN RD |
| City | FAIRHAVEN |
| State | MA |
| Zip Code | 02719-4721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790713378 | Pharmahealth Longterm Care Inc | Pharmacy | 132 Alden Rd, Fairhaven, MA 02719-4721 | 2006-06-30 |
| 1093018921 | Karen Bridges | Pharmacist | 132 Alden Rd, Fairhaven, MA 02719-4721 | 2010-12-15 |
| 1285937128 | Elizabeth Masciantonio | Pharmacist | 132 Alden Rd, Fairhaven, MA 02719-4721 | 2010-12-15 |
| 1417119983 | Philip C Falzarano | Pharmacist | 132 Alden Rd, Fairhaven, MA 02719-4721 | 2008-06-26 |
| 1336251792 | Adam Joseph Wilczek | Pharmacist | 132 Alden Rd, Fairhaven, MA 02719-4721 | 2006-08-31 |
| 1174536536 | Jennifer Torrey | Pharmacist | 132 Alden Rd, Fairhaven, MA 02719-4721 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457589772 | David Paul Patterson | Nurse Practitioner | 271 Alden Rd, Fairhaven, MA 02719 | 2009-06-25 |
| 1245415983 | Carol Ann Reeve | Social Worker | 21 Nelson Ave, Fairhaven, MA 02719 | 2007-12-31 |
| 1194842716 | Cathleen Lacy | Physical Therapist | 333 Bridge St, Fairhaven, MA 02719 | 2007-03-26 |
| 1700903978 | Barbara Ann Acksen | Psychologist | 91 Green Street, Fairhaven, MA 02719 | 2007-03-23 |
| 1811023260 | Merolla Chiropractic Inc | Chiropractor | 73 Alden Rd, Fairhaven, MA 02719 | 2007-02-27 |
| 1982746442 | Michele E Merolla | Chiropractor | 73 Aiden Rd, Fairhaven, MA 02719 | 2007-02-13 |
| 1417016338 | Brian K Bowcock | Chiropractor | 84 Huttleston Avenue, Fairhaven, MA 02719 | 2006-12-06 |
| 1104937697 | Southcoast Visiting Nurse Association. Inc | Home Health | 200 Mill Road, Suite 120, Fairhaven, MA 02719 | 2006-08-31 |
| 1902817299 | 184 Main LLC | Skilled Nursing Facility | 184 Main Street, Fairhaven, MA 02719 | 2006-08-11 |
| 1821584103 | Smiley Dental Care Pllc | Clinic/Center | 17 Berdon Way, Fairheaven, MA 02719 | 2018-07-10 |
| Find all providers in zip 02719 | ||||
| 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 |
|---|---|---|---|---|
| 1679864367 | Jacquelyn A Almeida | Pharmacist | 85 Huttleston Ave, Fairhaven, MA 02719-3156 | 2011-04-28 |
| 1417279373 | Anita M Carey | Pharmacist | 9 Plaza Way, Fairhaven, MA 02719-4601 | 2010-02-19 |
| 1760082382 | Sharon V Clark | Pharmacist | 42 Fairhaven Commons Way, Fairhaven, MA 02719-4627 | 2020-11-01 |
| 1891395075 | Jen-wen Hsu-yin | Pharmacist | 42 Fairhaven Commons Way, Fairhaven, MA 02719-4627 | 2020-10-28 |
| 1154730570 | Rachel Tetreault | Pharmacist | 85 Huttleston Ave, Fairhaven, MA 02719-3156 | 2014-08-11 |
| 1699188326 | Pamela Frances Boutin | Pharmacist | 85 Huttleston Ave, Fairhaven, MA 02719-3156 | 2014-06-10 |
| 1851719603 | Carrie Farias | Pharmacist | 220 Huttleston Ave, Fairhaven, MA 02719-1958 | 2014-03-30 |
| 1184907883 | Brandon Garde | Pharmacist | 220 Huttleston Ave, Fairhaven, MA 02719-1958 | 2011-09-20 |
| 1841573532 | Gina Louise Biscaia | Pharmacist | 220 Huttleston Ave, Fairhaven, MA 02719-1958 | 2011-09-20 |
| 1528352606 | Charles D Margis | Pharmacist | 85 Huttleston Ave, Fairhaven, MA 02719-3156 | 2011-06-06 |
| Find all providers in FAIRHAVEN | ||||
Please comment or provide details below to improve the information on COURTNEY W 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.