DR. KRISTEN KELLY (NPI# 1558798181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558798181 |
| Entity Type | Individual |
| Full Name | DR. KRISTEN KELLY |
| Credential | PHARMD |
| Practice Address |
5809 Deale Churchton Rd Deale MD 20751-2203 |
| Mailing Address |
3504 Cedar Dr Edgewater MD 21037-3225 |
| Practice Telephone | 4108672455 |
| Practice Fax Number | 4108672466 |
| Mailing Telephone | 4109351905 |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2019-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 21883 | MD | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617612 | Kristen Kelly | Physician Assistant | 31 W Maple Rd, Greenlawn, NY 11740-1024 | 2020-07-28 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1467905075 | Kristen Gidel Kelly | Counselor | 384 Streamwater Dr, Blacklick, OH 43004-8132 | 2016-07-31 |
| 1710516711 | Kristen A Kelly | Student in an Organized Health Care Education/Training Program | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-04-02 |
| 1962983270 | Kristen Irene Kelly | Occupational Therapy Assistant | 3002 W 2nd Ave, Corsicana, TX 75110-2492 | 2018-08-24 |
| 1356845101 | Kristen Mchugh Kelly | Student in an Organized Health Care Education/Training Program | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2018-03-19 |
| 1265942809 | Kristen D Kelly | Occupational Therapist | 2865 Chancellor Dr Ste 105, Crestview Hills, KY 41017-3913 | 2017-10-10 |
| 1023470945 | Kristen Joy Kelly | Student in an Organized Health Care Education/Training Program | 1679 E Main St, Suite 102, El Cajon, CA 92021-5212 | 2016-03-22 |
| 1336576081 | Kristen Michelle Kelly | Social Worker | 5050 Madison Rd, Cincinnati, OH 45227-1491 | 2013-09-26 |
| 1518393750 | Kristen M Kelly | Chore Provider | 3111 Winton Rd S, Rochester, NY 14623-2905 | 2013-09-19 |
| Street Address |
5809 DEALE CHURCHTON RD |
| City | DEALE |
| State | MD |
| Zip Code | 20751-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114275708 | Deale Pharmacy LLC | Pharmacy | 5809 Deale Churchton Rd, Deale, MD 20751-2203 | 2012-08-29 |
| 1275132672 | Irene Chen | Pharmacist | 5809 Deale Churchton Rd, Deale, MD 20751-2203 | 2020-10-19 |
| 1073126785 | Xi Xu | Pharmacist | 5809 Deale Churchton Rd, Deale, MD 20751-2203 | 2020-08-24 |
| 1164063210 | Surinder K Singal | Pharmacist | 5809 Deale Churchton Rd, Deale, MD 20751-2203 | 2019-09-30 |
| 1689225922 | Leila Sasanpour | Pharmacist | 5809 Deale Churchton Rd, Deale, MD 20751-2203 | 2019-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114355898 | Retha Pokryfki | Massage Therapist | 6045 Melbourne Avenue, #a, Deale, MD 20751 | 2013-10-16 |
| 1881793347 | Arthur H Langereis | Dentist | 659 Deale Rd, Deale, MD 20751 | 2006-09-21 |
| 1811097611 | Aelia Syed | Dentist | 659 Deale Rd, Deale, MD 20751 | 2006-09-22 |
| 1639313570 | Gyan C Surana Md.pc. | Internal Medicine | 5851 Deale Churchton Rd, Suite 16, Deale, MD 20751-2202 | 2009-04-22 |
| 1588768519 | Amanda Fincher | Counselor | 645 Deale Rd, Deale, MD 20751-2212 | 2006-09-11 |
| 1043433436 | Terry Villano | Registered Nurse | 6001 Parker Dr, Deale, MD 20751-9615 | 2007-04-11 |
| 1780127779 | Alexa Yancey | Physical Therapist | 5950 Deale Churchton Road, Suite C, Deale, MD 20751-9730 | 2016-11-23 |
| 1659673010 | Rosalea Knight | Physical Therapist | 5950 Deale Churchton Rd, Deale, MD 20751-9730 | 2010-11-17 |
| 1285102558 | Rachel Whiteley Rosenberger | Physical Therapist | 5950 Deale Churchton Rd, Deale, MD 20751-9730 | 2018-11-05 |
| 1811302292 | Elite Care Physical Therapy | Clinic/Center | 5950 Deale Churchton Rd, Deale, MD 20751-9730 | 2014-06-24 |
| Find all providers in zip 20751 | ||||
| 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 |
|---|---|---|---|---|
| 1275132672 | Irene Chen | Pharmacist | 5809 Deale Churchton Rd, Deale, MD 20751-2203 | 2020-10-19 |
| 1073126785 | Xi Xu | Pharmacist | 5809 Deale Churchton Rd, Deale, MD 20751-2203 | 2020-08-24 |
| 1164063210 | Surinder K Singal | Pharmacist | 5809 Deale Churchton Rd, Deale, MD 20751-2203 | 2019-09-30 |
| 1689225922 | Leila Sasanpour | Pharmacist | 5809 Deale Churchton Rd, Deale, MD 20751-2203 | 2019-09-27 |
| 1063645331 | Ranjith Kumar Bompelli | Pharmacist | 5720 Deale Churchton Rd, Deale, MD 20751-9756 | 2009-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700853 | Sheldon Marc Godfrey | Pharmacist | 4408 Whimsey Ln, Olney, MD 20832-2833 | 2020-11-06 |
| 1588265623 | Michael Tyler Lundy | Pharmacist | 7920 Belair Rd, Baltimore, MD 21236-3706 | 2020-11-05 |
| 1326649534 | John Alexander Dix | Pharmacist | 9 Cranbrook Rd, Cockeysville, MD 21030-3403 | 2020-11-04 |
| 1679174759 | Felisa Goles | Pharmacist | 3299 Emmorton Rd, Abingdon, MD 21009-2013 | 2020-11-04 |
| 1598366759 | Christine Simmons | Pharmacist | 10210 Mill Run Cir, Owings Mills, MD 21117-4214 | 2020-11-04 |
| 1982205274 | Marilyn Jeanne Chalkley | Pharmacist | 3530 Sugarloaf Pkwy, Frederick, MD 21704-7909 | 2020-11-04 |
| 1295336618 | Rupesh Sheth | Pharmacist | Sams's Club, 3535 Russett Green E, Laurel, MD 20724 | 2020-11-03 |
| 1821699265 | Marisa Witkin | Pharmacist | 18140 Village Mart Dr, Olney, MD 20832-1413 | 2020-11-03 |
| 1093316648 | Jaime Walker | Pharmacist | 8910 Route 108 Ste C, Columbia, MD 21045-2151 | 2020-11-02 |
| 1063012631 | Olawunmi Aina | Pharmacist | 2217 Jacob Way, Gambrills, MD 21054-2150 | 2020-10-31 |
| Find all providers with the same taxonomy | ||||
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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.