DR. KELLY M CHISHOLM (NPI# 1073978219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073978219 |
| Entity Type | Individual |
| Full Name | DR. KELLY M CHISHOLM |
| Credential | PHARMD |
| Practice Address |
1585 Liberty Dr Thomasville NC 27360-6356 |
| Mailing Address |
2205 Mast Ave High Point NC 27265-9003 |
| Practice Telephone | 3364742264 |
| Mailing Telephone | 3366881564 |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 21253 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245474873 | Kelly Chisholm | Counselor | 2402 Canyon Lake Dr, Lubbock, TX 79415-2000 | 2009-04-27 |
| 1346461852 | Kelly Chisholm | Counselor | 8500 Menaul Blvd Ne Ste B455, Albuquerque, NM 87112-2287 | 2007-05-01 |
| Street Address |
1585 LIBERTY DR |
| City | THOMASVILLE |
| State | NC |
| Zip Code | 27360-6356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134113475 | Paul Douglas Ware | Optometrist | 1585 Liberty Dr, Thomasville, NC 27360-6356 | 2005-09-01 |
| 1568759009 | Alicia Lynn Rogers | Pharmacist | 1585 Liberty Dr, Thomasville, NC 27360-6356 | 2011-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659994309 | Jazmin Arielle Cromartie | Dentist | 1235 Davidson Community College Rd, Thomasville, NC 27360 | 2020-05-28 |
| 1235609835 | Amekia A Thomas | Counselor | 205 Princeton Xing, Thomasville, NC 27360 | 2018-11-27 |
| 1801340252 | Hospitality Home Care, Inc | Home Health | 508 National Highway, #320, Thomasville, NC 27360 | 2016-08-14 |
| 1629472568 | East Carolina University School of Dental Medicine-davidson | Dentist | 1235 Dccc Road, Thomasville, NC 27360 | 2014-10-21 |
| 1699116723 | Kala Brown Brewer | Optometrist | 1040 Randolph St Ste 14-15, Thomasville, NC 27360 | 2013-07-17 |
| 1740511989 | Cornerstone Health Care LLC | Podiatrist | 211 Old Lexington Road, Thomasville, NC 27360 | 2010-01-28 |
| 1760695472 | Susan Hunter Squires | Counselor | 3954 North Nc Hwy 109, Ledford Middle School School Counselor, Thomasville, NC 27360 | 2007-05-08 |
| 1508961178 | Rebecca Lee Johnson | Social Worker | 17 East Main Street, Thomasville, NC 27360 | 2006-09-14 |
| 1437160124 | Rick H Jackson | Chiropractor | 630 National Highway, Thomasville, NC 27360 | 2006-08-10 |
| 1144253436 | Haresh M Kathard | Family Medicine | 207 Old Lexington Road, Thomasville, NC 27360 | 2006-07-09 |
| Find all providers in zip 27360 | ||||
| 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 |
|---|---|---|---|---|
| 1245718626 | Caitlin Marie Slaughter | Pharmacist | 13775 Us 19 S, Thomasville, GA 31792-5398 | 2018-07-30 |
| 1346644341 | Milind Patel | Pharmacist | 33151 U.S. 43, Thomasville, AL 36784 | 2014-10-20 |
| 1912301961 | Megan Meeks Mills | Pharmacist | 326 White Oak Trl, Thomasville, GA 31792-6243 | 2014-10-20 |
| 1922346402 | Ronald Reid Satterfield | Pharmacist | 2551 E Pinetree Blvd, Thomasville, GA 31792-4865 | 2013-01-18 |
| 1306113394 | Stephen Michael Cowne | Pharmacist | 1122 Randolph Street, Kmart Pharmacy #3295, Thomasville, NC 27360-5175 | 2011-11-19 |
| 1952609596 | Ernest Roan Mcclelland | Pharmacist | 410 Glenwood Dr, Thomasville, GA 31792-4111 | 2011-03-07 |
| 1043532856 | Krisalyn K Gleaton | Pharmacist | 1122 Randolph St, Thomasville, NC 27360-5175 | 2010-02-20 |
| 1043545460 | Jimmy Holman Andrews | Pharmacist | 327 Cody Dr, Thomasville, NC 27360-9683 | 2009-10-04 |
| 1932330172 | Michael William Koch | Pharmacist | 901 Randolph St, Thomasville, NC 27360-5716 | 2009-08-06 |
| 1346444056 | Almeda Daniels Simpson | Pharmacist | 915 Gordon Avenue, Thomasville, GA 31792-6614 | 2007-06-14 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 27360 |
Please comment or provide details below to improve the information on DR. KELLY M CHISHOLM.
| 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.