MR. JERRY B KELLY (NPI# 1881801397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881801397 |
| Entity Type | Individual |
| Full Name | MR. JERRY B KELLY |
| Credential | R.PH. |
| Practice Address |
801 E 6th St Panama City FL 32401-3661 |
| Mailing Address |
4333 Northshore Rd Lynn Haven FL 32444-4594 |
| Practice Telephone | 8507476018 |
| Practice Fax Number | 8507476717 |
| Mailing Telephone | 8507476018 |
| Mailing Fax Number | 8507476717 |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
PS0016008 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386853745 | Jerry C. Kelly | Dentist | 263 S Jefferson Ave, Marshall, MO 65340-2134 | 2007-05-22 |
| 1043611783 | Jerry Kelly | Military Health Care Provider | 1061 Harmon Ave, Fort Stewart, GA 31314-5641 | 2014-09-12 |
| 1962559278 | Jerry S Kelly | Social Worker | 3719 Union Rd, Cheektowaga, NY 14225-4249 | 2007-01-05 |
| Street Address |
801 E 6TH ST |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32401-3661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992704308 | Heidi Ann Hamilton | Nurse Anesthetist, Certified Registered | 801 E 6th St, Suite 205, Panama City, FL 32401-3661 | 2005-07-18 |
| 1023567450 | Kirsti F Willis | Registered Nurse | 801 E 6th St, Suite 604, Panama City, FL 32401-3661 | 2016-09-27 |
| 1275923195 | Alicia L Meicher | Nurse Anesthetist, Certified Registered | 801 E 6th St, Ste 205, Panama City, FL 32401 | 2015-01-30 |
| 1497145858 | Bradley Strickland | Nurse Anesthetist, Certified Registered | 801 E 6th St, Ste 205, Panama City, FL 32401-3661 | 2015-01-23 |
| 1831597079 | Michele Ramsey | Nurse Anesthetist, Certified Registered | 801 E 6th St, Ste 205, Panama City, FL 32401-3661 | 2014-12-19 |
| 1770981698 | Lisa Carey | Nurse Anesthetist, Certified Registered | 801 E 6th St, Panama City, FL 32401-3661 | 2014-12-09 |
| 1225432727 | Cardiovascular Institute of Northwest Florida | Nurse Practitioner | 801 E 6th St, Suite 504, Panama City, FL 32401-3661 | 2014-10-14 |
| 1962806463 | The Cardiovascular Institute of Northwest Florida | Nurse Practitioner | 801 E 6th St, Suite 504, Panama City, FL 32401-3661 | 2014-10-14 |
| 1891103149 | Ariel Perry | Physician Assistant | 801 E 6th St, Suite 504, Panama City, FL 32401-3661 | 2014-07-31 |
| 1518381326 | Emily Morris | Nurse Anesthetist, Certified Registered | 801 E 6th St, Ste 205, Panama City, FL 32401-3661 | 2014-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760946727 | Panama City Drugs | Pharmacy | 3127 East Bus 98, Panama City, FL 32401 | 2019-01-24 |
| 1154813418 | Karl Roger Metzger | Pharmacist | 306 S Macarthur Ave, Panama City, FL 32401 | 2018-06-03 |
| 1942703905 | Muhammad Eckhaus | Acupuncturist | 2401 West 15th Street, Panama City, FL 32401 | 2018-03-15 |
| 1922534171 | Wolford Family Practice Inc | Nurse Practitioner | 1027 E Business Hwy 98, Panama City, FL 32401 | 2017-05-10 |
| 1508397381 | Shoreline Medical Solutions & Dme, LLC | Durable Medical Equipment & Medical Supplies | 405 W Oak Ave Ste B, Panama City, FL 32401 | 2017-03-23 |
| 1679027189 | David Lawrence Angier | Behavioral Analyst | 904 Flower Ave, Panama City, FL 32401 | 2016-08-12 |
| 1427422369 | Kathy Purdessy | Nurse Practitioner | 801 E 6th St Ste 604, Panama City, FL 32401 | 2015-11-16 |
| 1881015154 | Anesthesia Unlimited Inc | Nurse Anesthetist, Certified Registered | 801 E 6th Stret, Ste 205, Panama City, FL 32401 | 2014-01-03 |
| 1598193765 | Lashunda Sherese Thomas | Social Worker | 2711 W. 15th St., Panama City, FL 32401 | 2013-10-24 |
| 1144654153 | Raymond Dretti Pacheco | Licensed Practical Nurse | 509 N Center Ave, Panama City, FL 32401 | 2013-08-27 |
| Find all providers in zip 32401 | ||||
| Taxonomy Code | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306475769 | Gianluca Gullo | Pharmacist | 6463 S Falkenburg Rd, Riverview, FL 33578-8696 | 2020-04-07 |
| 1336624576 | Herbert Nichols | Pharmacist | 1583 Pratt St, Deland, FL 32720-8445 | 2018-10-02 |
| 1174061048 | Kenneth Webster Fuqua Sr. | Pharmacist | 1122 Old Polk City Rd, Lakeland, FL 33809-6622 | 2017-02-10 |
| 1366989378 | Betsy Townsend | Pharmacist | 1075 Coastal Cir, Ocoee, FL 34761-4319 | 2017-01-28 |
| 1821485046 | Gretchen Mary Petrie | Pharmacist | 1255 Kasamada Dr, Fort Myers, FL 33919-1622 | 2015-04-26 |
| 1982090080 | Lissel Cruz | Pharmacist | 7030 Sw 8th St, Pembroke Pines, FL 33023-1636 | 2015-04-15 |
| 1164869426 | Reetesh Kumar Jaiswal | Pharmacist | 5214 Neil Dr, St Petersburg, FL 33714-2401 | 2013-05-28 |
| 1013266493 | Peter L Day | Pharmacist | 6447 Nw 55th St, Coral Springs, FL 33067-2709 | 2012-08-31 |
| 1710256995 | Jonathan Michael Hickman | Pharmacist | 371 Milestone Dr, Tallahassee, FL 32312-3575 | 2011-12-18 |
| 1205118148 | David Milstein | Pharmacist | 11831 Nw 25th St, Plantation, FL 33323-1701 | 2011-09-16 |
| Find all providers with the same taxonomy | ||||
| City | PANAMA CITY |
| Zip Code | 32401 |
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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.