DR. JUSTIN M KELLETT (NPI# 1952742322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952742322 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN M KELLETT |
| Credential | PHARMD |
| Practice Address |
698 Fairview Rd Simpsonville SC 29680-6708 |
| Mailing Address |
105 Beauclair Drive Simpsonville SC 29680 |
| Practice Telephone | 8649628994 |
| Mailing Telephone | 8649628991 |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 12570 | SC | Pharmacy Service Providers |
| Street Address |
698 FAIRVIEW RD |
| City | SIMPSONVILLE |
| State | SC |
| Zip Code | 29680-6708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255300539 | Margaret Ann Capucini | Nurse Practitioner | 698 Fairview Rd, Ltc Health Solutions, Simpsonville, SC 29680-6708 | 2006-03-17 |
| 1588216360 | Kayla Lesley Davidson | Pharmacist | 698 Fairview Rd, Simpsonville, SC 29680-6708 | 2019-07-12 |
| 1952779928 | Scott Bagwell | Pharmacist | 698 Fairview Rd, Simpsonville, SC 29680-6708 | 2015-09-09 |
| 1699107912 | Jessica Wilkerson Phillips | Nurse Practitioner | 698 Fairview Rd, Simpsonville, SC 29680-6708 | 2013-08-09 |
| 1619309739 | Karen Ann Martin | Nurse Practitioner | 698 Fairview Rd, Simpsonville, SC 29680-6708 | 2013-07-31 |
| 1851642219 | Raul Luevano | Nurse Practitioner | 698 Fairview Rd, Simpsonville, SC 29860 | 2012-09-26 |
| 1851640379 | Anh-hoa Dillard | Pharmacist | 698 Fairview Rd, Simpsonville, SC 29680-6708 | 2012-08-30 |
| 1073887709 | Dianne English | Nurse Practitioner | 698 Fairview Rd, Simpsonville, SC 29680-6708 | 2012-02-27 |
| 1083903900 | Jennifer Lee Feltwell | Nurse Practitioner | 698 Fairview Rd, Simpsonville, SC 29680-6708 | 2011-03-31 |
| 1659500478 | Eric Todd Chesney | Nurse Practitioner | 698 Fairview Rd, Simpsonville, SC 29680-6708 | 2009-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235776568 | Tribe Dental LLC | Dentist | 11 Magnolia Cove Dr, Simpsonville, SC 29680 | 2019-12-05 |
| 1255860243 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 704 Fairview Rd., Simpsonville, SC 29680 | 2017-06-05 |
| 1588061998 | Wrights Care Services LLC | Community/Behavioral Health | 504 Boyd Ave, Simpsonville, SC 29680 | 2014-12-01 |
| 1619389590 | Nina Christine Mckenzie | Speech-Language Pathologist | 303 Barrett Chase Dr, Simpsonville, SC 29680 | 2014-05-27 |
| 1275878761 | Stepping Stones Therapy Services | Speech-Language Pathologist | 501 Westbury Way, Simpsonville, SC 29680 | 2012-12-10 |
| 1295085363 | Wael D Nasr | Pharmacist | 698 Fairview Rd., Simpsonville, SC 29680 | 2012-09-14 |
| 1285984831 | Courtney Sands | Pharmacist | 914 West Georgia Road, Simpsonville, SC 29680 | 2012-09-11 |
| 1245589175 | Jeegar Patel | Pharmacist | 914 West Georgia Rd, Simpsonville, SC 29680 | 2012-09-06 |
| 1083847024 | Still Waters Therapeutic Massage & Wellness Clinic | Massage Therapist | 452 North Main St., Six Mile, SC 29680 | 2009-08-25 |
| 1104849314 | Victor Paul Lebedovych | Dentist | 634 Fairview Rd, Building C, Simspnville, SC 29680 | 2006-07-26 |
| Find all providers in zip 29680 | ||||
| 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 |
|---|---|---|---|---|
| 1841813508 | Caitlin Sanders | Pharmacist | 914 W Georgia Rd # Ed, Simpsonville, SC 29680-6214 | 2020-05-28 |
| 1083255681 | Kevin Michael Kelly | Pharmacist | 704 Fairview Rd, Simpsonville, SC 29680-7117 | 2019-10-04 |
| 1083181291 | Jennie Ann Parker | Pharmacist | 411 Riverdale Rd, Simpsonville, SC 29680-7748 | 2018-10-25 |
| 1477030070 | Mena M Melek | Pharmacist | 115 Sc-14, Simpsonville, SC 29681 | 2018-07-26 |
| 1104363134 | Celeste Martin Vaughan | Pharmacist | 114 Fox Trce, Simpsonville, SC 29680-7000 | 2017-01-29 |
| 1407303936 | Christopher Michael Chambers | Pharmacist | 16208 Hollyhock Dr, Simpsonville, SC 29681-3283 | 2016-09-01 |
| 1790146975 | Britney Runyon | Pharmacist | 23 S Penobscot Ct, Simpsonville, SC 29681-4315 | 2016-03-15 |
| 1912395559 | Frank Addo Owusu | Pharmacist | 68 Magnolia Crest Dr, Simpsonville, SC 29681-3862 | 2015-01-06 |
| 1144620071 | Anthony Bonofiglio | Pharmacist | 107 Chase Woods Ct, Simpsonville, SC 29680-3600 | 2014-08-28 |
| 1306285713 | Tommy Martincic | Pharmacist | 2531 Woodruff Rd, Suite 107, Simpsonville, SC 29681-5465 | 2013-06-19 |
| Find all providers in SIMPSONVILLE | ||||
| City | SIMPSONVILLE |
| Zip Code | 29680 |
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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.