MR. GARY KELLY (NPI# 1366764599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366764599 |
| Entity Type | Individual |
| Full Name | MR. GARY KELLY |
| Credential | R,PH, |
| Practice Address |
45 S Service Rd Plainview NY 11803-4100 |
| Practice Telephone | 8005220556 |
| Practice Fax Number | 8008809022 |
| Mailing Telephone | 8005220556 |
| Mailing Fax Number | 8008809022 |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2010-02-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 038740 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194930610 | Gary Frank Kelly | Counselor | 634 Plank Rd Ste 206, Clifton Park, NY 12065-4887 | 2007-05-10 |
| 1720195183 | Gary Gerald Kelly | Dentist | 2656 E 29th, Spokane, WA 99223 | 2006-08-23 |
| 1013942879 | Gary Lindsey Kelly | Dentist | 413 West Gaines Street, Lawrenceburg, TN 38464 | 2006-07-11 |
| 1306322128 | Gary Kelly | Marriage & Family Therapist | 4401 Crenshaw Blvd, Los Angeles, CA 90043-1227 | 2018-07-15 |
| 1851811087 | Gary Kelly | Hearing Instrument Specialist | 1754 Madison St Ste A, Clarksville, TN 37043-2923 | 2017-06-20 |
| 1134100126 | Gary L Kelly | Physical Therapist | 1605 E Palmdale Blvd, Suite A, Palmdale, CA 93550 | 2005-11-08 |
| Street Address |
45 S SERVICE RD |
| City | PLAINVIEW |
| State | NY |
| Zip Code | 11803-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558530790 | Menas Philippides | Pharmacist | 45 S Service Rd, Coram Healthcare, Plainview, NY 11803-4100 | 2008-02-21 |
| 1396351748 | Daniel Moldwin | Registered Nurse | 45 S Service Rd, Plainview, NY 11803-4100 | 2020-09-21 |
| 1952703381 | Jean Berte | Pharmacist | 45 S Service Rd, Plainview, NY 11803-4100 | 2014-09-17 |
| 1245500891 | Dolores Farrell | Pharmacist | 45 S Service Rd, Plainview, NY 11803-4100 | 2012-01-12 |
| 1255637047 | Harninder Kaur Ranu | Pharmacist | 45 S Service Rd, Plainview, NY 11803-4100 | 2011-01-27 |
| 1407166523 | Catherine Lam Chu | Pharmacist | 45 S Service Rd, Plainview, NY 11803-4100 | 2010-10-08 |
| 1891018545 | Bo K Park | Pharmacist | 45 S Service Rd, Plainview, NY 11803-4100 | 2010-03-09 |
| 1346563202 | Beth Mandel | Pharmacist | 45 S Service Rd, Plainview, NY 11803-4100 | 2010-03-08 |
| 1750604781 | Kathleen Powers | Pharmacist | 45 S Service Rd, Plainview, NY 11803-4100 | 2010-03-04 |
| 1780906552 | Debra E. Conte | Pharmacist | 45 S Service Rd, Plainview, NY 11803-4100 | 2010-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730797010 | Lynn Marie Viscusi | Chiropractor | 1163 Old Country Road, Plainview, NY 11803 | 2020-07-22 |
| 1649798240 | Audrey Demas | Early Intervention Provider Agency | 255 Executive Drive Suite Ll 105/108, Plainview, NY 11803 | 2017-09-03 |
| 1649798521 | Danielle J Walowitz | Specialist | 19 Pearl Drive, Plainview, NY 11803 | 2017-08-31 |
| 1437676178 | Jaclyn Heather Rosenblum | Speech-Language Pathologist | 2 Edgewood Gate, Plainview, NY 11803 | 2017-08-24 |
| 1548784531 | Giselle Cortez | Registered Nurse | 53 Belmont Avenue, Plainview, NY 11803 | 2017-08-01 |
| 1528500808 | Michelle Tamarez | Nurse Practitioner | 131 E. Ames Ct, Plainview, NEW YORK 11803 | 2016-11-17 |
| 1649656646 | Marjorie Elise Tirsun | Specialist | 10 Crestwood Drive, Plainview, NY 11803 | 2015-08-03 |
| 1295110872 | Elizabeth Scisci | Dentist | 146a Manetto Hill Rd Ste 100, Plainview, NY 11803 | 2015-07-24 |
| 1114332905 | Alberto Roman Cabezas | Internal Medicine | Sanchez, Curridabat, SAN JOSE 11803 | 2014-06-30 |
| 1568883148 | Chiropractic Doc Spine, PC | Chiropractor | 42 Ruby Ln, Plainview, NY 11803 | 2013-12-26 |
| Find all providers in zip 11803 | ||||
| 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 |
|---|---|---|---|---|
| 1326671611 | Jaejun Lee | Pharmacist | 33 Wendell St, Plainview, NY 11803-4629 | 2020-02-15 |
| 1679057095 | Viraj S Coelho | Pharmacist | 45 Stephen Dr, Plainview, NY 11803-5723 | 2018-09-21 |
| 1396270534 | Lina Lin | Pharmacist | 9 Bentley Rd, Plainview, NY 11803-2619 | 2017-04-25 |
| 1184043846 | Tina Joseph | Pharmacist | 42 Winthrop Rd, Plainview, NY 11803-1133 | 2014-04-10 |
| 1538599659 | Zenepe Dafku | Pharmacist | 130 Lincoln Rd E, Plainview, NY 11803-5304 | 2013-11-26 |
| 1285975086 | Huma Saleem | Pharmacist | 4 Capri Gate, Plainview, NY 11803-6313 | 2013-03-05 |
| 1558674192 | Stephanie Ann Epstein | Pharmacist | 56 Audrey Ave, Plainview, NY 11803-3515 | 2010-07-25 |
| 1043535529 | Derek Mingozzi | Pharmacist | 55 West Ames Ct, Plainview, NY 11801 | 2010-03-29 |
| 1619299336 | Ruiwen Lin | Pharmacist | 55 W Ames Ct Ste 200, Plainview, NY 11803-2304 | 2010-02-22 |
| 1538481338 | Ryan Deverna | Pharmacist | 228 Manetto Hill Rd, Plainview, NY 11803-1304 | 2010-02-19 |
| Find all providers in PLAINVIEW | ||||
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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.