KELLY PHARMACY INC KELLY PHARMACY & GIFTS (NPI# 1760576011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760576011 |
| Entity Type | Organization |
| Organization Name | KELLY PHARMACY INC KELLY PHARMACY & GIFTS |
| Other Organization Name | KELLY PHARMACY |
| Practice Address |
302 E Palmetto Plain Dealing LA 71064 |
| Mailing Address |
Po Box 188 Plain Dealing LA 71064-0188 |
| Practice Telephone | 3183264229 |
| Practice Fax Number | 3183265903 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | PATRICK BOGGS (PRESIDENT) |
| Authorized Official Telephone | 3183264229 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY.002188-IR | LA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2029118 | 01 | |
| LA | 1258105 | 05 | |
| AR | 121851407 | 05 |
| Other Name | Type Code |
|---|---|
| KELLY PHARMACY | Doing Business As Name - Organization |
| Street Address |
302 E PALMETTO |
| City | PLAIN DEALING |
| State | LA |
| Zip Code | 71064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992115695 | Patricia Dietrich | Pharmacist | 302 E Palmetto, Plain Dealing, LA 71064 | 2014-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740782283 | Reginald Walker | Case Manager/Care Coordinator | 9626 Highway 3, Plain Dealing, LA 71064 | 2018-02-28 |
| 1124276068 | Martin Family Support Services | PACE Provider Organization | 248 Blankenship, 248 Blankenship, Plain Dealing, LA 71064 | 2008-09-04 |
| 1851547566 | Martin Family Support Services | Home Health | 248 Blankenship Road, Plain Dealing, LA 71064 | 2008-08-13 |
| 1720140346 | Ccmt, LLC | Pharmacy | 200 East Palmetto, Plain Dealing, LA 71064 | 2006-12-14 |
| 1720164379 | Patricia Webb | Nurse Practitioner | 112 Forest Street, Plain Dealing, LA 71064 | 2006-10-27 |
| 1518905983 | Commcare Corporation | Skilled Nursing Facility | 309 S. Louisiana Street, Plain Dealing, LA 71064 | 2006-06-04 |
| 1154572451 | Martin Family Support Services | Home Health | 248 Blankenship Road, Plain Dealing, LA 71064 | 2008-10-06 |
| 1003340506 | Rolandria Mccauley | Counselor | 623 South Perrin St, Plain Dealing, LA 71064-0005 | 2017-04-12 |
| 1376852145 | Patrick L Boggs | Pharmacist | 302 East Palmetto Street, Plain Dealing, LA 71064-0188 | 2010-09-28 |
| 1679721518 | Martin Family Support Services | PACE Provider Organization | 248 Blankenship Rd, Plain Dealing, LA 71064-0515 | 2008-09-04 |
| Find all providers in zip 71064 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306340328 | Medi-script Inc | Pharmacy | 200 E Palmetto Ave, Plain Dealing, LA 71064-4258 | 2018-03-23 |
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| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1417573593 | Doc Your Dose Pharmacy, LLC | Pharmacy | 17275 Hwy 77, Gross Tete, LA 70740 | 2020-06-24 |
| 1942829247 | Good Vibe Ventures LLC | Pharmacy | 5004 W Esplanade Ave Ste A, Metairie, LA 70006-2551 | 2020-04-16 |
| Find all providers with the same taxonomy | ||||
| City | PLAIN DEALING |
| Zip Code | 71064 |
Please comment or provide details below to improve the information on KELLY PHARMACY INC KELLY PHARMACY & GIFTS.
| 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.