ANGELA DAWN KELLY (NPI# 1366963514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366963514 |
| Entity Type | Individual |
| Full Name | ANGELA DAWN KELLY |
| Credential | PHARMD |
| Practice Address |
555 W Marion Rd Mount Gilead OH 43338-1025 |
| Practice Telephone | 4199479134 |
| Practice Fax Number | 4199471304 |
| Mailing Telephone | 4199479134 |
| Mailing Fax Number | 4199471304 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
03326901 | OH | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276485 | Angela Wilson Kelly | Counselor | 907 Haviland Dr, Vestavia Hills, AL 35216-2330 | 2019-10-09 |
| 1992115547 | Angela Kelly | Custodial Care Facility | 720 Valley Forge Rd, Jacksonville, FL 32208-3566 | 2014-05-05 |
| 1205180718 | Angela M Kelly | Occupational Therapist | 3261 Hwy 49 South, Va State Home/collins, Collins, MS 39428 | 2012-11-06 |
| 1205899358 | Angela Dawn Kelly | Chiropractor | 4329 Easton Ave, Bethlehem, PA 18020-1431 | 2006-04-10 |
| 1568956373 | Angela Diane Kelly | Counselor | 306 Sw 8th St, Corvallis, OR 97333-4543 | 2018-06-15 |
| 1699015248 | Angela Elena Kelly | Counselor | 520 Dudley St, Roxbury, MA 02119-2769 | 2013-02-19 |
| 1497015143 | Angela K Kelly | Social Worker | 822 Washington St, Montpelier, ID 83254-1423 | 2012-05-28 |
| 1962732784 | Angela Kelly | Community Health Worker | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2009-12-29 |
| 1851444392 | Angela M Kelly | Speech-Language Pathologist | 17929 Gottschalk Ave, Homewood, IL 60430-1709 | 2007-01-19 |
| 1174671689 | Angela J. Kelly | Nurse Anesthetist, Certified Registered | 320 E North Ave, Pittsburgh, PA 15212-4756 | 2007-01-08 |
| Street Address |
555 W MARION RD |
| City | MOUNT GILEAD |
| State | OH |
| Zip Code | 43338-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780618587 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 555 W Marion Rd, Mount Gilead, OH 43338-1025 | 2006-07-10 |
| 1205357514 | Justin Peak | Pharmacist | 555 W Marion Rd, Mount Gilead, OH 43338-1025 | 2017-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811340458 | Courtnie Kay Howell | Counselor | 245 Neal Avenue, Mt Gilead, OH 43338 | 2016-07-19 |
| 1609222488 | Frederick Grant Jr. | Counselor | 528 W Marion Rd, Mount Gilead, OH 43338 | 2016-05-10 |
| 1073912796 | Lori J Depinet-spears | Counselor | 950 Meadow Dr Ste C, Mount Gilead, OH 43338 | 2014-08-19 |
| 1386069854 | Christine Rogers | Speech-Language Pathologist | 630 Bank Street, Mt. Gilead, OH 43338 | 2014-02-20 |
| 1285956243 | Leslie Michellle Matthews | Occupational Therapy Assistant | 810 W Marion St, Mt. Gilead, OH 43338 | 2010-02-18 |
| 1164685319 | Sharon Kay Blocksom | Registered Nurse | 5697 County Road 93, Mount Gilead, OH 43338 | 2008-07-08 |
| 1629290085 | Morrow County Board of Mrdd | Day Training, Developmentally Disabled Services | 440 Douglas Street, Mount Gilead, OH 43338 | 2007-05-03 |
| 1982727202 | Peggy Marie Craig | Registered Nurse | 7021 State Route #614 North, Mt Gilead, OH 43338 | 2007-04-10 |
| 1780726950 | Joe Richard Prater | Nurse Anesthetist, Certified Registered | 651 West Marion Road, Mt. Gilead, OH 43338 | 2007-02-13 |
| 1336222199 | Brian Eric Votaw | Counselor | 950 Meadow Dr Ste A, Mount Gilead, OH 43338 | 2006-10-23 |
| Find all providers in zip 43338 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608561 | Chad Michael Early | Pharmacist | 1001 Cherry St Ste A, Blanchester, OH 45107-1346 | 2020-10-30 |
| 1427657568 | Jason Michael Knippen | Pharmacist | 5400 Cornerstone, Centerville, OH 45440 | 2020-10-20 |
| 1184222564 | Kimberly Downs | Pharmacist | 5400 North Cornerstone Blvd, Centerville, OH 45440 | 2020-10-16 |
| 1023625613 | Andrea Haney | Pharmacist | 2449 Ross Millville Rd Ste 185, Hamilton, OH 45013-8955 | 2020-09-28 |
| 1881205433 | Jacob Thomas Hoferer | Pharmacist | 120 E Freedom Way Unit 410, Cincinnati, OH 45202-3453 | 2020-08-16 |
| 1871118422 | Lisa Clegg | Pharmacist | 15245 Palmyra Rd, Diamond, OH 44412-9618 | 2020-06-09 |
| 1811510639 | Maegan Nichole Klosterman | Pharmacist | 14242 Providence Pike, Brookville, OH 45309-9709 | 2020-05-27 |
| 1336768720 | Rachael Yim | Pharmacist | 9500 Euclid Ave # Hb-110, Cleveland, OH 44195-0001 | 2020-04-15 |
| 1174150742 | Kelli Holden | Pharmacist | 4530 Eastgate Blvd Ste 500, Cincinnati, OH 45245-1256 | 2020-03-24 |
| 1306470133 | Alyssa M Mattson | Pharmacist | 2900 W Sr 22&3, Maineville, OH 45039 | 2020-03-02 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT GILEAD |
| Zip Code | 43338 |
Please comment or provide details below to improve the information on ANGELA DAWN KELLY.
| 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.