MRS. NEELY KELLUM OTT (NPI# 1144699257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144699257 |
| Entity Type | Individual |
| Full Name | MRS. NEELY KELLUM OTT |
| Credential | RPH |
| Practice Address |
2800 West Main Street Tupelo MS 38801 |
| Practice Telephone | 6628401022 |
| Practice Fax Number | 6628401059 |
| Mailing Telephone | 6628401022 |
| Mailing Fax Number | 6628401059 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E-08326 | MS | Pharmacy Service Providers |
| Street Address |
2800 WEST MAIN STREET |
| City | TUPELO |
| State | MS |
| Zip Code | 38801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649648189 | Valerie Faye Sullivan | Pharmacist | 2800 West Main Street, Senior Rx, Tupelo, MS 38801 | 2015-09-14 |
| 1144699265 | Cathy Lynn Riley | Pharmacist | 2800 West Main Street, Tupelo, MS 38801 | 2015-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339275 | Friendship, LLC | Pharmacy | 4123 W Main St, Tupelo, MS 38801 | 2020-09-04 |
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1821556838 | Wilco Healthcare of North Mississippi, Pllc | Point of Service | 1514 Co Rd 41, Tupelo, MS 38801 | 2019-03-08 |
| 1821565235 | Stephanie K Cagle | Nurse Practitioner | 218 S Thomas St Ste 120-121, Tupelo, MS 38801 | 2018-10-24 |
| 1073092326 | Lauren Parrish | Nurse Practitioner | 1573 Medical Park Circle, Tupelo, MS 38801 | 2018-08-08 |
| 1467948687 | North Mississippi Medcial Center, Inc. | Nurse Practitioner | 990 S Madison St Ste 2, Tupelo, MS 38801 | 2018-07-11 |
| 1043700933 | Hooks Diabetes & Medicine Clinic | Non-Pharmacy Dispensing Site | 2610 Traceland Drive, Ste A, Tupelo, MS 38801 | 2018-05-16 |
| 1073035903 | Annette C Riddle | Counselor | 1004 Eisenhower Drive, Tupelo, MS 38801 | 2017-07-12 |
| 1548709678 | Jaime Summers | Nurse Practitioner | 2780 West Jackson St, Tupelo, MS 38801 | 2017-02-22 |
| 1073975611 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 1168 Cross Creek Drive, Tupelo, MS 38801 | 2016-03-23 |
| Find all providers in zip 38801 | ||||
| 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 |
|---|---|---|---|---|
| 1306469515 | George David Gilmore | Pharmacist | 2801 W Main St Ste A, Tupelo, MS 38801-3001 | 2020-05-21 |
| 1659800621 | Meghan Cobb | Pharmacist | 146 S Thomas St Ste A, Tupelo, MS 38801-5328 | 2017-06-05 |
| 1598119554 | Donald Andrew Sweeney | Pharmacist | 1579 Sunflower Cir, Tupelo, MS 38801-8209 | 2016-04-15 |
| 1649648189 | Valerie Faye Sullivan | Pharmacist | 2800 West Main Street, Senior Rx, Tupelo, MS 38801 | 2015-09-14 |
| 1548544836 | Joan C Chandler | Pharmacist | 817 West Main Street, Tupelo, MS 38801 | 2011-10-05 |
| 1487953998 | Ronald Conrad Harris | Pharmacist | 280 Reynard Dr, Tupelo, MS 38801-8672 | 2011-03-23 |
| 1144539198 | James Paul Tinsley | Pharmacist | 1776 Mccullough Blvd, Tupelo, MS 38801-7101 | 2010-09-24 |
| 1467760801 | M Darlene Byram | Pharmacist | 809 Varsity Dr, Tupelo, MS 38801-4615 | 2010-09-20 |
| 1497748941 | James Lauvon Taylor IIi | Pharmacist | 1665 S Green St, Tupelo, MS 38804-6556 | 2005-08-30 |
| 1619578036 | Christy Cothern | Pharmacist | 3929 N Gloster St, Tupelo, MS 38804-0915 | 2020-11-03 |
| Find all providers in TUPELO | ||||
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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.