DR. AMANDA M KELLY (NPI# 1306464904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306464904 |
| Entity Type | Individual |
| Full Name | DR. AMANDA M KELLY |
| Credential | PHARMD |
| Practice Address |
1655 E 95th St Chicago IL 60617-4707 |
| Practice Telephone | 7737319086 |
| Mailing Telephone | 7737319086 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051303075 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395921 | Amanda Kelly | Student in an Organized Health Care Education/Training Program | 71 Walnut Ave, Norwood, MA 02062-3215 | 2020-04-16 |
| 1073977989 | Amanda Kelly | Specialist/Technologist | 8 Clemson Rd, Parlin, NJ 08859-1206 | 2016-04-06 |
| 1326489741 | Amanda N Kelly | Behavioral Analyst | 66-434 Kamehameha Hwy, Haleiwa, HI 96712-2414 | 2013-07-14 |
| 1124254263 | Amanda Rose Kelly | Dentist | 4183 Franklin Rd Ste 5b, Murfreesboro, TN 37128-4255 | 2009-06-03 |
| 1881248227 | Amanda Kelly | Registered Nurse | 2014 Washington St, Newton, MA 02462-1607 | 2019-07-24 |
| 1811549041 | Amanda Vaughan Kelly | Nurse Practitioner | 1505 Sw Cary Pkwy Ste 309, Cary, NC 27511-6219 | 2019-07-09 |
| 1134789787 | Amanda Ansley Kelly | Student in an Organized Health Care Education/Training Program | 41 Mall Rd, Burlington, MA 01805-0001 | 2019-06-17 |
| 1649750027 | Amanda Nicole Kelly | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905 | 2018-08-15 |
| 1891232914 | Amanda Kelly | Nurse Anesthetist, Certified Registered | 6225 N State Highway 161 Ste 200, Irving, TX 75038-2241 | 2017-01-26 |
| 1669925194 | Amanda Kelly | Nurse Practitioner | 103 Bata Blvd Ste A, Belcamp, MD 21017-1420 | 2016-08-02 |
| Street Address |
1655 E 95TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60617-4707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932155603 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 1655 E 95th St, Chicago, IL 60617 | 2006-05-25 |
| 1750864492 | Bolu Oladini | Pharmacist | 1655 E 95th St, Chicago, IL 60617-4707 | 2018-09-10 |
| 1043668213 | Nancy Terrell | Pharmacist | 1655 E 95th St, Chicago, IL 60617-4707 | 2016-05-29 |
| 1760838213 | Kristina Llanes | Pharmacist | 1655 E 95th St, Chicago, IL 60617-4707 | 2016-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102921 | Manuel Lule | Physical Therapy Assistant | 9535 S Jeffery Boulevard, Chicago, IL 60617 | 2020-07-24 |
| 1083253546 | Vanaja Thotten | Internal Medicine | 8012 S.crandon Ave, Chicago, IL 60617 | 2020-01-02 |
| 1427527365 | Stony Island Dental PC | Dentist | 1600 E 93rd Street, Chicago, IL 60617 | 2018-11-21 |
| 1871060301 | Tamika Nicole Whitehead | Social Worker | 2822 East 83rd Street, Chicago, IL 60617 | 2018-11-02 |
| 1528543774 | Felicia Nwankwo | Nurse Practitioner | 2822 E 83rd Street Bradond Famiy Health Cener, Chicago, IL 60617 | 2018-10-03 |
| 1972099307 | David Phan | Optometrist | 1753 E 95th St Ste B-100, Chicago, IL 60617 | 2018-07-09 |
| 1831607340 | Pamela Evette Ewing | Counselor | 9145 S. Merrill Ave, Chicago, IL 60617 | 2018-01-18 |
| 1366976631 | Ali Mostafa Serhal | Radiology | 240 E. Huron St, Suite 1-203, Chicago, IL 60617 | 2017-04-13 |
| 1447784921 | 1915-25 95th St., LLC | Clinic/Center | 1915 E 95th St, Chicago, IL 60617 | 2017-04-12 |
| 1881140408 | Yeferson Laverde | Social Worker | 3062 East 31st, Chicago, IL 60617 | 2016-09-01 |
| Find all providers in zip 60617 | ||||
| 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 |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1003416439 | Denise Venketramen | Pharmacist | 939 W Madison St Apt 310, Chicago, IL 60607-2656 | 2020-10-26 |
| 1427657063 | Sundis I Islefo | Pharmacist | 2647 W Rascher Ave Apt 2w, Chicago, IL 60625-3106 | 2020-10-24 |
| 1497353361 | Eleanor English | Pharmacist | 910 W Huron St Unit 1209, Chicago, IL 60642-5968 | 2020-10-13 |
| 1942808001 | Iris Esmeralda Gutierrez | Pharmacist | 3343 S Leavitt St, Chicago, IL 60608-6018 | 2020-10-12 |
| 1417564790 | Tara Airola | Pharmacist | 857 N Marshfield Ave Unit 1, Chicago, IL 60622-5132 | 2020-09-30 |
| 1174137129 | Tangtang Zhao | Pharmacist | 9148 S Commercial Ave, Chicago, IL 60617-4307 | 2020-09-06 |
| 1710591334 | Karolina Maculewicz | Pharmacist | 371 W Ontario St, Chicago, IL 60654-5716 | 2020-09-01 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1245844026 | Rachel Klepacz | Pharmacist | 101 N Clinton St, Chicago, IL 60661-1505 | 2020-08-31 |
| Find all providers in CHICAGO | ||||
Please comment or provide details below to improve the information on DR. AMANDA M 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.