KATHLEEN WILLIS KELLY (NPI# 1861901159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861901159 |
| Entity Type | Individual |
| Full Name | KATHLEEN WILLIS KELLY |
| Credential | PHARM D |
| Practice Address |
7901 Walerga Rd Antelope CA 95843-5722 |
| Mailing Address |
132 Tuscan Grove Ct Roseville CA 95747-8376 |
| Practice Telephone | 9167256940 |
| Mailing Telephone | 7073303496 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 41058 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335511 | Kathleen Kelly | Social Worker | 1672 S Ocean Ln Apt 155, Fort Lauderdale, FL 33316-3341 | 2020-10-27 |
| 1699226415 | Kathleen Ann Kelly | Clinical Medical Laboratory | David Geffen Medical Ctr Ucla 10833 Le Conte Ave, Mailroom A3-215 Chs, Mailcode 173216, Los Angeles, CA 90095-1732 | 2016-10-17 |
| 1033510359 | Kathleen P Kelly | Licensed Practical Nurse | 25 Rogers Pl, Hyde Park, NY 12538-1112 | 2014-09-05 |
| 1730522418 | Kathleen Kelly | Registered Nurse | 319 Middlesex Rd, Buffalo, NY 14216-3140 | 2013-04-11 |
| 1528328432 | Kathleen Marie Kelly | Behavioral Analyst | 1031 S Crescent Heights Blvd, Los Angeles, CA 90035-2632 | 2012-05-24 |
| 1013241512 | Kathleen Marie Kelly | Psychologist | #1670 Calle Georgina Volga, Urb. Reparto De Diego, San Juan, PR 00926-9998 | 2009-09-30 |
| 1174739882 | Kathleen Petrie Kelly | Physical Therapist | 4 Kildare Walk, Rockaway Point, NY 11697-1708 | 2007-05-16 |
| 1073664710 | Kathleen Lorraine Kelly | Counselor | 1070 W. Horizon Ridge Pkwy., Suite 200, Henderson, NV 89012-6019 | 2007-01-16 |
| 1811062839 | Kathleen Kelly | Nurse Practitioner | 55 Fruit Street Yaw 4b, Boston, MA 02114-2696 | 2006-11-22 |
| 1467455147 | Kathleen A Kelly | Dentist | 44 E Mifflin St, Ste 204, Madison, WI 53703-2895 | 2005-05-24 |
| Street Address |
7901 WALERGA RD |
| City | ANTELOPE |
| State | CA |
| Zip Code | 95843-5722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487764148 | Bel Air Market Inc | Pharmacy | 7901 Walerga Rd, Antelope, CA 95843-5722 | 2006-08-30 |
| 1457754756 | Ernest Barkhurst | Pharmacist | 7901 Walerga Rd, Antelope, CA 95843-5722 | 2014-09-30 |
| 1699187633 | Tatyana Andreyev | Pharmacist | 7901 Walerga Rd, Antelope, CA 95843-5722 | 2014-05-26 |
| 1386944452 | Duc V Nguyen | Pharmacist | 7901 Walerga Rd, Antelope, CA 95843-5722 | 2010-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881196350 | Attayla Marnyce Bell | Behavior Technician | 8438 Cedar Hill Ct, Antelope, CA 95843 | 2018-03-01 |
| 1699297259 | Alexej Iovita | Nursing Home Administrator | 4136 Singing Tree Way, Antelope, CA 95843 | 2017-07-14 |
| 1447386362 | Rescare California, Inc. | Intermediate Care Facility, Mentally Retarded | 8141 Chimango Way, Antelope, CA 95843 | 2007-02-26 |
| 1144373838 | Cynthia Louise Simpson | Dental Hygienist | 8124 Sheehan Way, Antelope, CA 95843 | 2007-01-18 |
| 1750471140 | Dental Corporation of Ghazal Buehler Rodgers | Dentist | 8008 Walerga Rd, Ste. 100, Antelope, CA 95843 | 2006-10-13 |
| 1235245168 | Vimal Amral Dulabh | Dentist | 3535 Elverta Rd, Suite E, Antelope, CA 95843 | 2006-08-22 |
| 1073987269 | Rex Anthony Gamoke | Pharmacist | 4331 Antelope Rd, Antelope, CA 95843 | 2015-11-25 |
| 1134302524 | Firstsight Vision Services, Inc. | Optometrist | 5821 Antelope North Rd, Antelope, CA 95843 | 2007-12-10 |
| 1386116630 | Juliya Sitaruk | Behavior Technician | 3015 Scotland Dr, Antelope, CA 95843-1928 | 2018-12-27 |
| 1861672057 | Firstsight Vision Services, Inc. | Optometrist | 7901 Watt Ave, Antelope, CA 95843-2000 | 2007-11-06 |
| Find all providers in zip 95843 | ||||
| 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 |
|---|---|---|---|---|
| 1578028353 | David Minh Phan | Pharmacist | 4126 Lake Placid Ct, Antelope, CA 95843-5267 | 2019-02-05 |
| 1902330293 | Diep Pham | Pharmacist | 3620 Bowie Ct, Antelope, CA 95843-4488 | 2017-04-13 |
| 1053478669 | Howard Lamborn IIi | Pharmacist | 3914 Balverne Ct, Antelope, CA 95843-5237 | 2007-01-02 |
| 1043817687 | Rebecca Shoua Yang | Pharmacist | 4300 Elverta Rd, Antelope, CA 95843-6700 | 2020-10-06 |
| 1578036687 | Brandon Tyler Fong | Pharmacist | 7901 Watt Ave, Antelope, CA 95843-2002 | 2019-01-11 |
| 1053820688 | Tranchau Le | Pharmacist | 7901 Watt Ave, Antelope, CA 95843-2002 | 2017-09-27 |
| 1780135152 | Many Lee | Pharmacist | 4300 Elverta Rd, Antelope, CA 95843-6700 | 2016-10-20 |
| 1376093369 | Nhan Le | Pharmacist | 7901 Watt Ave, Antelope, CA 95843-2002 | 2016-10-13 |
| 1689124943 | Eliana Lisette Barriga Torres | Pharmacist | 4300 Elverta Rd, Antelope, CA 95843-6700 | 2016-10-11 |
| 1073987269 | Rex Anthony Gamoke | Pharmacist | 4331 Antelope Rd, Antelope, CA 95843 | 2015-11-25 |
| Find all providers in ANTELOPE | ||||
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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.