KELLY MCKENZIE (NPI# 1134438229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134438229 |
| Entity Type | Individual |
| Full Name | KELLY MCKENZIE |
| Credential | PHARMD |
| Practice Address |
5116 W Olive Ave Glendale AZ 85302-4209 |
| Practice Telephone | 6239374771 |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S018031 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750896890 | Kelly Mckenzie | Dietitian, Registered | 1 S Park Cir Ste 101, Charleston, SC 29407-4625 | 2017-12-12 |
| 1336384205 | Kelly Grace Mckenzie | Occupational Therapist | 1500 Sawmill Rd, Raleigh, NC 27615-4320 | 2008-12-08 |
| 1750312633 | Kelly Sue Mckenzie | Nurse Anesthetist, Certified Registered | 12500 Willowbrook Rd, Western Md Regional Health System, Cumberland, MD 21502-6393 | 2006-07-06 |
| Street Address |
5116 W OLIVE AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275575896 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 5116 W Olive Ave, Glendale, AZ 85302-4209 | 2006-06-11 |
| 1164892238 | Derek Patterson | Pharmacist | 5116 W Olive Ave, Glendale, AZ 85302-4209 | 2015-10-01 |
| 1518292713 | Sheri Lyn Mccormick | Pharmacist | 5116 W Olive Ave, Glendale, AZ 85302-4209 | 2009-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| Find all providers in zip 85302 | ||||
| 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 |
|---|---|---|---|---|
| 1831703503 | Anabel Ebrahimi | Pharmacist | 1030 S Glendale Ave Ste 101, Glendale, CA 91205-2866 | 2020-09-01 |
| 1235743055 | Aleen Marcoosi | Pharmacist | 418 E Glenoaks Blvd Ste 102, Glendale, CA 91207-2093 | 2020-08-31 |
| 1114539673 | Gary Karapet Karapetyan | Pharmacist | 1415 Dorothy Dr, Glendale, CA 91202-1611 | 2020-08-17 |
| 1144832692 | Arsineh Mesrkhani | Pharmacist | 330 Concord St Apt E, Glendale, CA 91203-2811 | 2020-08-17 |
| 1619595261 | Cari Schultz | Pharmacist | 1633 W Bender Rd Apt 6b, Glendale, WI 53209-3821 | 2020-07-09 |
| 1215564273 | Mark Hoffman | Pharmacist | 5419 N 80th Ln, Glendale, AZ 85303-5517 | 2020-03-26 |
| 1548897515 | Anasheh Navasarkian | Pharmacist | 348 W Chevy Chase Dr Apt 29, Glendale, CA 91204-2244 | 2020-03-26 |
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1275165391 | Michael Bardi | Pharmacist | 800 S Central Ave Ste 101a, Glendale, CA 91204-4375 | 2020-02-06 |
| 1487292942 | Victoria Chipeva | Pharmacist | 1538 Raymond Ave, Glendale, CA 91201-1213 | 2019-12-16 |
| Find all providers in GLENDALE | ||||
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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.