DR. BRIAN THOMAS KELLEY (NPI# 1770866261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770866261 |
| Entity Type | Individual |
| Full Name | DR. BRIAN THOMAS KELLEY |
| Credential | PHARM.D. |
| Practice Address |
1380 S Appomattox Ave Republic MO 65738-7802 |
| Practice Telephone | 4172580087 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2011027023 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598027054 | Brian P Kelley | Licensed Practical Nurse | 98 Chapman Ave, Auburn, NY 13021-4632 | 2012-06-11 |
| 1265706949 | Brian Edward Kelley | Social Worker | 139-141 North St., Suite 303, Pittsfield, MA 01201 | 2012-02-28 |
| 1326352022 | Brian L Kelley | Pharmacist | 970 N Main Rd, Vineland, NJ 08360-8266 | 2010-08-05 |
| 1821165465 | Brian Kelley | Chiropractor | 6096 Se Federal Hwy, Stuart, FL 34997-8101 | 2006-11-29 |
| 1366423527 | Brian Patrick Kelley | Dentist | 6923 W Becher St, West Allis, WI 53219-1353 | 2005-11-07 |
| 1811994205 | Brian Scott Kelley | Chiropractor | 1503 Larson St, Bloomer, WI 54724-1632 | 2005-06-30 |
| 1003811407 | Brian Kelley | Obstetrics & Gynecology | 7500 Hospital Dr, Dublin, OH 43016-8518 | 2005-06-14 |
| 1194213785 | Brian Kelley | Student in an Organized Health Care Education/Training Program | 102 Mason Farm Rd, Chapel Hill, NC 27599-6134 | 2018-04-29 |
| 1063958395 | Brian R Kelley | Counselor | 3400 S Washington Rd, Saginaw, MI 48601-4958 | 2017-01-10 |
| 1891147336 | Brian Kelley | Nurse Practitioner | 300 Flynn Ave, Burlington, VT 05401-5301 | 2016-07-08 |
| Street Address |
1380 S APPOMATTOX AVE |
| City | REPUBLIC |
| State | MO |
| Zip Code | 65738-7802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215585922 | Lawana Kay Patterson | Technician | 1702 East New Madrid, Republic, MO 65738 | 2019-08-27 |
| 1497219059 | Samantha J Steed | Chiropractor | 530 E Hadley St, Republic, MO 65738 | 2019-01-29 |
| 1962643338 | Dave Bremer | Physical Therapist | 5030 S Westwood Dr, Republic, MO 65738 | 2009-03-16 |
| 1689704918 | Kevin Edward Medlin | Dentist | 834 S Illinois Ave, Republic, MO 65738 | 2007-03-06 |
| 1437284023 | Teresa Ann Davidson | Occupational Therapist | 1983 S Fr 69, Republic, MO 65738 | 2007-02-22 |
| 1144303363 | Marcia L Preston | Dentist | 604 East Elm, Republic, MO 65738 | 2006-10-23 |
| 1801908355 | David Kent Budd | Dentist | 1093 Us Highway 60 E, Republic, MO 65738 | 2006-08-31 |
| 1124011630 | Jonathan K Armstrong | Chiropractor | 851 S Colorado, Republic, MO 65738 | 2005-08-30 |
| 1861970816 | Matthew Charles Mcnitt | Pharmacist | 1173 E Hines St, Republic, MO 65738 | 2018-08-01 |
| 1194237826 | Alexandria Paige Holmes | Optometrist | 612 E Elm St, Republic, MO 65738 | 2017-11-03 |
| Find all providers in zip 65738 | ||||
| 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 |
|---|---|---|---|---|
| 1174693089 | Robert Mark Slagle | Pharmacist | North 6 Clark St., Republic, WA 99166-0497 | 2006-11-08 |
| 1972539526 | Gayla Ann Schenck | Pharmacist | 1013 Us Highway 60 E, Republic, MO 65738-1570 | 2006-06-24 |
| 1568426864 | Patricia Heeney Slagle | Pharmacist | 6 Clark Ave N, Republic, WA 99166-0497 | 2006-04-13 |
| 1962003921 | Justin Eric Teeter | Pharmacist | 1150 Us Highway 60 E, Republic, MO 65738-1580 | 2020-11-05 |
| 1144820176 | Melody Kirby | Pharmacist | 1150 Us Highway 60 E, Republic, MO 65738-1580 | 2020-10-28 |
| 1154935922 | Levi Keith Hare-townsend | Pharmacist | 1050 Us Highway 60 E, Republic, MO 65738-1569 | 2020-08-31 |
| 1487275707 | Stephen L Mcclanahan II | Pharmacist | 1173 E Hines St, Republic, MO 65738-1277 | 2020-04-27 |
| 1962065029 | Amanda Morelock | Pharmacist | 1173 E Hines St, Republic, MO 65738-1277 | 2019-04-15 |
| 1861970816 | Matthew Charles Mcnitt | Pharmacist | 1173 E Hines St, Republic, MO 65738 | 2018-08-01 |
| 1477809739 | Bryan A Ferro | Pharmacist | 1009 Main Street, Box 757, Republic, PA 15475 | 2012-07-24 |
| Find all providers in REPUBLIC | ||||
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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.