KELLEY JOHNSON


Address: 2014 S Broad St, Philadelphia, PA 19145-2305
Phone: 2155513818

KELLEY JOHNSON (NPI# 1871105403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871105403
Entity Type Individual
Full Name KELLEY JOHNSON
Credential PHARMD
Practice Address 2014 S Broad St
Philadelphia
PA 19145-2305
Mailing Address 2332 S Hemberger St
Philadelphia
PA 19145-3315
Practice Telephone 2155513818
Mailing Telephone 9318013234
Enumeration Date 2020-08-17
Last Update Date 2020-08-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist RP450005 PA Pharmacy Service Providers

Other Providers KELLEY JOHNSON

NPI Name Taxonomy Address Enumeration
1336320555 Kelley Nicole Johnson Social Worker 4455 S Pecos Rd Ste C, Las Vegas, NV 89121-5029 2007-11-15
1639296759 Kelley Lynn Johnson Counselor 155 Se 1 Ave, Great Bend, KS 67530-9696 2007-03-23
1629505813 Kelley Holt Johnson Nurse Practitioner 5335 Yadkin Rd, Fayetteville, NC 28303-3254 2017-05-18
1891107264 Kelley Johnson Counselor 407 Cincinnati St, Delhi, LA 71232-3007 2014-05-20
1912332891 Kelley E Johnson Nurse Practitioner 5855 Bremo Rd, Suite 102, Richmond, VA 23226-1930 2013-09-10
1942540745 Kelley Erin Johnson Nurse Practitioner 255 Spencer Rd Ste 201, Saint Peters, MO 63376-2576 2013-02-15
1447506233 Kelley Johnson Community Health Worker 1856 Thompson Bridge Rd, Gainesville, GA 30501-1663 2012-07-30
1407173636 Kelley Ray Johnson Pharmacist 429 E Main St, Ingles Pharmacy #253, Liberty, SC 29657-1574 2010-04-28
1699853887 Kelley Purvis Johnson Dentist 1454 Madison Ave W, Immokalee, FL 34142-2200 2006-11-02
1487674586 Kelley Jean Johnson Pharmacist 5000 W National Ave, Milwaukee, WI 53295-0001 2006-07-20

Office Location

Street Address 2014 S BROAD ST
City PHILADELPHIA
State PA
Zip Code 19145-2305

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285901504 Robert Jason Spencer Pharmacist 2014 S Broad St, Philadelphia, PA 19145-2305 2011-12-01
1033637681 Steven Chi Lam Pharmacist 2014 S Broad St, Philadelphia, PA 19145 2017-09-05
1013380328 Meg Short Pharmacist 2014 S Broad St, Philadelphia, PA 19145-2305 2015-11-09
1477937357 Annabel Ye Li Pharmacist 2014 S Broad St, Philadelphia, PA 19145-2305 2015-07-10
1184027054 Jay Kim Pharmacist 2014 S Broad St, Philadelphia, PA 19145-2305 2014-10-06
1780952150 Trevor Gordon Pharmacist 2014 S Broad St, Philadelphia, PA 19145-2305 2011-12-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518564350 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 2300a Rear W Oregon Ave, Philadelphia, PA 19145 2020-10-05
1376069559 Kyle James Hughes Physical Therapist 2192 W Oregon Ave Fl 3, Philadelphia, PA 19145 2017-08-18
1821519752 John A Takacs Dmd Clinic/Center 1707w Passyunk Ave, Philadelphia, PA 19145 2017-06-30
1033573209 Kenneth Donahue Dentist 1517 Packer Avenue, Philadelphia, PA 19145 2016-04-13
1437516895 Kimberly Wyand Physical Therapist 2129 Oregon St, Philadelphia, PA 19145 2016-01-15
1760856538 Liji Vipin Nurse Practitioner 1615 Oregon Ave, Philadelphia, PA 19145 2015-11-17
1528333846 Gina Marie Doyle Registered Nurse 1930 S. Broad Street, Philadelphia, PA 19145 2012-03-20
1639446214 Thao T Tran Pharmacist 2014-24 South Broad St, Philadelphia, PA 19145 2011-11-25
1649573171 Phyllis Yang Internal Medicine 1700 S Broad St, Unit 201, Philadelphia, PA 19145 2010-12-05
1326364613 South Philadelphia Open Mri, LLC Clinic/Center 1834 West Oregon Avenue, Philadelphia, PA 19145 2010-04-13
Find all providers in zip 19145

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063013704 Truong Vu Pharmacist 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 2020-11-07
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1639797574 Nikia Moody Pharmacist 3300 S Broad St, Philadelphia, PA 19145-5802 2020-07-07
1730706136 William Galson Pharmacist 2732 E Venango St, Philadelphia, PA 19134-6121 2020-07-01
1801413489 Kim-anh Tran Pharmacist 633 W Rittenhouse St Apt A204, Philadelphia, PA 19144-4327 2020-06-30
1376160374 Amjad Azzawe Pharmacist 1335 Mount Vernon St, Philadelphia, PA 19123-3211 2020-06-25
1861017345 Alice Hong Chandler Pharmacist 1405 S 10th St # At, Philadelphia, PA 19147-5608 2020-06-10
1710509518 Nicholas Jospeh Carroll Pharmacist 21302 Delaire Landing Rd, Philadelphia, PA 19114-5205 2020-05-14
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1871129809 Adina Klingman Pharmacist 5800 Woodland Ave, Philadelphia, PA 19143-5918 2020-03-21
Find all providers in PHILADELPHIA

Competitor

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City PHILADELPHIA
Zip Code 19145

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Dataset Information

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.

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