KELLY'S PHARMACY INC. (NPI# 1891063012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891063012 |
| Entity Type | Organization |
| Organization Name | KELLY'S PHARMACY INC. |
| Other Organization Name | KELLY'S PHARMACY INC. |
| Practice Address |
4852 State Route 81 Greenville NY 12083 |
| Mailing Address |
Po Box 422 Greenville NY 12083-0422 |
| Practice Telephone | 5189664800 |
| Practice Fax Number | 5189664950 |
| Mailing Telephone | 5189664800 |
| Mailing Fax Number | 5189664950 |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2017-01-17 |
| Authorized Official Name | MARTIN KELLY (PRESIDENT) |
| Authorized Official Telephone | 5189664800 |
| Authorized Official Credential | BS PHARMACY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
030985 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2132755 | 01 |
| Other Name | Type Code |
|---|---|
| Kelly's Pharmacy Inc. | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | KELLY'S PHARMACY INC. | 1659 Central Avenue, Albany, Ny 12205 |
| Street Address |
4852 STATE ROUTE 81 |
| City | GREENVILLE |
| State | NY |
| Zip Code | 12083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952887895 | Quinn Patrick Kelly | Pharmacist | 4852 State Route 81, Greenville, NY 12083-7701 | 2018-07-13 |
| 1740524891 | Rachel A Raley | Pharmacist | 4852 State Route 81, Greenville, NY 12083-7701 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235644030 | Rebecca Ann Knowles | Pharmacist | 4852 Route 81, Greenville, NY 12083 | 2017-12-04 |
| 1386005387 | Debbie Huston | Occupational Therapy Assistant | 442 Route 38, Greenville, NY 12083 | 2016-03-18 |
| 1982975017 | Lorri Ann Gardner | Occupational Therapy Assistant | 5600 Sr 81, Greenville, NY 12083 | 2012-01-20 |
| 1265740484 | Jack Prayto | Physical Therapy Assistant | 442 Rte 38, Greenville, NY 12083 | 2010-09-22 |
| 1114195971 | Todd Mehlman | Dentist | 44 Bryant's Country Square, Greenville, NY 12083 | 2008-02-14 |
| 1073790762 | Ciani & Morris Physical Therapy | Specialist | Rr 1 Rte 32 South, Greenville, NY 12083 | 2008-01-25 |
| 1831319458 | Gloria Fuina Darrah Rpa | Internal Medicine | 20 Bryant's Country Square, Greenville, NY 12083 | 2007-04-26 |
| 1427276336 | Deborah Winne | Physical Therapy Assistant | Rr1 Rte 32 So, Greenville, NY 12083 | 2007-04-23 |
| 1174679302 | Julio Antonio Sosa | Internal Medicine | 20 Bryants Country Square, Greenville, NY 12083 | 2007-01-29 |
| 1003983305 | Greenville Family Dental, PC | Dentist | 44 Bryants Country Square, Greenville, NY 12083 | 2006-11-29 |
| Find all providers in zip 12083 | ||||
| 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 |
|---|---|---|---|---|
| 1275159758 | Hunt's Pharma Rx LLC | Pharmacy | 2934 W Interstate 30, Suite A, Greenville, TX 75402 | 2020-06-22 |
| 1912539818 | Greenville Pharmacy LLC | Pharmacy | 4209 Wesley St, Greenville, TX 75401-5637 | 2020-02-08 |
| 1285198283 | Pitt County Memorial Hospital Inc | Pharmacy | 2100 Stantonsburg Rd Rm 1ph-160, Greenville, NC 27834-2818 | 2019-01-24 |
| 1346713658 | Europa Enterprise LLC | Pharmacy | 2394 W Interstate 30 Ste A, Greenville, TX 75402 | 2019-01-09 |
| 1982173126 | Levee Drugs Inc | Pharmacy | 202 E Starling St # 1, Greenville, MS 38701-4707 | 2018-11-16 |
| 1326522376 | Piney Mountain Rx LLC | Pharmacy | 2498 North Pleasantburg Drive, Suite A, Greenville, SC 29609 | 2018-09-17 |
| 1184127102 | Snyder Partners, LLC | Pharmacy | 4000 Wesley St Ste G, Greenville, TX 75401-9015 | 2018-03-15 |
| 1508382839 | Mrvm LLC | Pharmacy | 1701 Augusta St, Greenville, SC 29605-2925 | 2017-08-18 |
| 1992228902 | Walgreen Co | Pharmacy | 2616 Anderson Rd, Greenville, SC 29611-6020 | 2017-07-21 |
| 1659739118 | Meiya LLC | Pharmacy | 543 Haywood Rd Ste 4, Greenville, SC 29607-2710 | 2016-01-29 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 12083 |
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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.