KELLI SUE BOLEY (NPI# 1750926705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750926705 |
| Entity Type | Individual |
| Full Name | KELLI SUE BOLEY |
| Credential | PHARMD |
| Practice Address |
19100 Murdock Circle Port Charlotte FL 33948 |
| Practice Telephone | 9416258825 |
| Practice Fax Number | 9416254685 |
| Mailing Telephone | 9416258825 |
| Mailing Fax Number | 9416254685 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS44708 | FL | Pharmacy Service Providers |
| Street Address |
19100 MURDOCK CIRCLE |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013469709 | Daria Erdmann | Counselor | 1720 El Jobean Rd Unit 200, Port Charlotte, FL 33948 | 2016-10-27 |
| 1699172270 | Best Hearing Aid Solutions, Inc | Hearing Instrument Specialist | 1931 Tamiami Tr #7, Port Charlotte, FL 33948 | 2014-11-26 |
| 1811331283 | Nic 4 Village Place Leasing LLC | Assisted Living Facility | 18400 Cochran Blvd., Port Charlotte, FL 33948 | 2013-04-29 |
| 1215277686 | Sarah Anne Baker | Physical Therapy Assistant | 18480 Corcoran Blvd., Port Charlotte, FL 33948 | 2013-02-22 |
| 1023362373 | Clement Gustavous Smith | Adult Companion | 3081 Jody Street, Port Charlotte, FL 33948 | 2012-11-07 |
| 1306106232 | Charlotte County Family Ymca, Inc | Physical Therapist | 19333 Quesada Ave, Port Charlotte, FL 33948 | 2012-05-25 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1508099847 | Victoria Lynn Wagner | Hearing Instrument Specialist | 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 | 2009-09-03 |
| 1902060601 | Domingo E Galliano Jr Pa | Surgery | 18308 Murdock Circle 108, Domingo E Galliano Jr Md Pa, Port Charlotte, FL 33948 | 2008-07-11 |
| 1194904862 | Associates In Dentistry | Dentist | 18000 Toledo Blade Blvd, Port Charlotte, FL 33948 | 2007-10-30 |
| Find all providers in zip 33948 | ||||
| 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 |
|---|---|---|---|---|
| 1417415654 | James Richard Belden | Pharmacist | 17212 Russell Ave, Port Charlotte, FL 33954-1504 | 2019-03-06 |
| 1649783804 | Randyel Luis | Pharmacist | 24051 Peachland Blvd, Port Charlotte, FL 33954-3714 | 2017-11-09 |
| 1811361215 | Jillian Dano | Pharmacist | 2525 Tamiami Trl Ste G, Port Charlotte, FL 33952-6472 | 2015-11-23 |
| 1841537487 | Victor Leonard Sabarese | Pharmacist | 24128 Green Heron Dr, Port Charlotte, FL 33980-5255 | 2013-01-15 |
| 1639451859 | Ronald D Heon | Pharmacist | 18087 York Ave, Port Charlotte, FL 33948-6053 | 2011-09-14 |
| 1356663173 | Dode Allen Hoskins | Pharmacist | 19400 Cochran Blvd, Port Charlotte, FL 33948-2036 | 2010-02-21 |
| 1790943785 | Patricia R Connolly | Pharmacist | 3001 Tamiami Trl, C/o Walgreens, Port Charlotte, FL 33952-6601 | 2008-05-28 |
| 1003089681 | Edward J Szmigiel | Pharmacist | 13435 South Mccall Rd, Port Charlotte, FL 33981 | 2008-04-04 |
| 1396920179 | Shirley Peeples Mccarty | Pharmacist | 13435 Mccall Rd, Port Charlotte, FL 33981-6422 | 2007-12-30 |
| 1851582159 | Mary Catherine Crowe | Pharmacist | 2176 Bendway Drive, Port Charlotte, FL 33948 | 2007-08-05 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33948 |
Please comment or provide details below to improve the information on KELLI SUE BOLEY.
| 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.