KELLY KEITH (NPI# 1689987414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689987414 |
| Entity Type | Individual |
| Full Name | KELLY KEITH |
| Other Name | KELLY ACKERMAN |
| Credential | PHARMD |
| Practice Address |
500 John Deere Rd Moline IL 61265-6892 |
| Practice Telephone | 3097795038 |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2014-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051294681 | IL | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 21242 | IA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174052567 | Kelly Lynne Keith | Registered Nurse | 121 W Herrick Ave, Wellington, OH 44090 | 2017-06-08 |
| 1053687624 | Kelly Jane Keith | Massage Therapist | 4130 1st Ave S Ste 110, Seattle, WA 98134-2302 | 2012-03-28 |
| 1487756250 | Kelly Wayne Keith | Dentist | 3800 Speedway, Austin, TX 78751 | 2006-09-02 |
| 1720564503 | Kelly Anne Keith | Optometrist | 3788 S 16th Ave, Tucson, AZ 85713-6079 | 2018-07-16 |
| 1467645218 | Kelly Lynn Keith | Counselor | 720 N Dewey Ave, Oklahoma City, OK 73102-1214 | 2007-08-24 |
| Street Address |
500 JOHN DEERE RD |
| City | MOLINE |
| State | IL |
| Zip Code | 61265-6892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487624839 | Arled Izquierdo | Pediatrics | 500 John Deere Rd, Moline, IL 61265 | 2006-01-26 |
| 1982201851 | Nicole Michelle Scott | Behavior Technician | 500 John Deere Rd, Moline, IL 61265-6892 | 2020-10-05 |
| 1679129985 | Catherine Salsberry | General Practice | 500 John Deere Rd, Moline, IL 61265-6892 | 2019-08-13 |
| 1548786593 | John Van Straten Do Sc | Anesthesiology | 500 John Deere Rd, Moline, IL 61265-6892 | 2017-08-21 |
| 1922532225 | Tarikere Lp Kumar Incorporated | Anesthesiology | 500 John Deere Rd, Moline, IL 61265-6892 | 2017-04-13 |
| 1700269669 | Deasker Inc | Anesthesiology | 500 John Deere Rd, Moline, IL 61265-6892 | 2015-07-09 |
| 1164712873 | John Joseph Van Straten | Anesthesiology | 500 John Deere Rd, Moline, IL 61265-6892 | 2011-04-14 |
| 1720303605 | Archana Wagle M D A Professional Corporation | Anesthesiology | 500 John Deere Rd, Moline, IL 61265-6892 | 2010-04-02 |
| 1841512266 | Lawrence W Allen | Internal Medicine | 500 John Deere Rd, Moline, IL 61265-6892 | 2010-02-26 |
| 1376776559 | Midwest Hernia Institute, PC | Surgery | 500 John Deere Rd, Moline, IL 61265-6892 | 2009-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861035438 | Ora Orthopedics, PC | Orthopaedic Surgery | 510 Valley View Drive, Moline, IL 61265 | 2019-10-25 |
| 1598231698 | Secure Dental Vi | Dentist | 106 16th St, Unit #90, Moline, IL 61265 | 2018-10-17 |
| 1487152088 | Fjellheim P.c | Chiropractor | 1535 47th Avenue, Suite 5, Moline, IL 61265 | 2018-01-29 |
| 1326567199 | Elizabeth Ann Teichler | Respiratory Therapist, Registered | 4360 7th Street, Moline, IL 61265 | 2017-09-13 |
| 1497279913 | Caroline M Mather | Behavioral Analyst | 2430 6th Avenue, Moline, IL 61265 | 2017-07-26 |
| 1639625239 | Elizabeth Anderson | Nurse's Aide | 4319 26th Ave Apt 1, Moline, IL 61265 | 2016-09-01 |
| 1437604154 | Lindsey Bollaert | Nurse Practitioner | 1100 36th Ave, Moline, IL 61265 | 2016-08-23 |
| 1437541869 | Divvymed, LLC | Pharmacy | 4300 44th Ave, Moline, IL 61265 | 2015-02-23 |
| 1477955250 | Todd Stone | Nurse Practitioner | 1100 3th Avenue, Moline, IL 61265 | 2014-09-23 |
| 1588084479 | Familia Dental Moline LLC | Dentist | 1102 4th Ave, Moline, IL 61265 | 2014-04-18 |
| Find all providers in zip 61265 | ||||
| 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 |
|---|---|---|---|---|
| 1447880760 | Tracy C Shewell | Pharmacist | 3930 44th Avenue Dr Stop 1, Moline, IL 61265-3893 | 2020-01-26 |
| 1891159554 | Kimberly Kay Sommers | Pharmacist | 5000 Avenue of The Cities, Moline, IL 61265-4556 | 2016-04-08 |
| 1639449515 | Mark G Renier | Pharmacist | 901 6th Street Dr, Moline, IL 61265-1291 | 2012-01-09 |
| 1487876173 | Patrick H Hintz | Pharmacist | 4128 Avenue of The Cities, Moline, IL 61265 | 2007-05-03 |
| 1396716015 | Marty Jon Milefchik | Pharmacist | 2014 1st Street A, Moline, IL 61265-7728 | 2006-01-30 |
| 1558972265 | Tracy Knobeloch | Pharmacist | 555 19th Ave, Moline, IL 61265-3761 | 2020-08-14 |
| 1982225942 | Nicole Savatski | Pharmacist | 750 42nd Avenue Dr, Moline, IL 61265-6893 | 2020-04-30 |
| 1073158366 | Stephanie Dianne Ray | Pharmacist | 3930 44th Avenue Dr, Moline, IL 61265-6401 | 2019-11-11 |
| 1891330148 | Kathleen Diane Franks | Pharmacist | 3930 44th Avenue Dr, Moline, IL 61265-6401 | 2019-11-11 |
| 1972953024 | Andrea Themas | Pharmacist | 2014 1st Street A, Moline, IL 61265-7728 | 2016-06-20 |
| Find all providers in MOLINE | ||||
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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.