DR. JONATHAN ERIC KELLY (NPI# 1649898099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649898099 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN ERIC KELLY |
| Credential | PHARMD |
| Practice Address |
150 Ashley Ave # Msc584 Charleston SC 29425-8907 |
| Practice Telephone | 6789821643 |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2020-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
42550 | SC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144522574 | Jonathan Richard Kelly | Psychiatry & Neurology | 600 South Paulina Street, Chicago, IL 60612 | 2010-11-17 |
| 1982165254 | Jonathan Michael Kelly | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, NY 11501-3957 | 2019-03-28 |
| 1053529446 | Jonathan D Kelly | Physician Assistant | 102 Llano St, Aztec, NM 87410-2172 | 2007-05-18 |
| 1467496422 | Jonathan D Kelly | Emergency Medicine | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2006-06-16 |
| Street Address |
150 ASHLEY AVE # MSC584 |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-8907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| 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 |
|---|---|---|---|---|
| 1851700926 | Heather Hummel | Pharmacist | 1020 Orange Grove Rd, Charleston, SC 29407-3756 | 2014-08-04 |
| 1457528408 | Christopher Matthew Dibble | Pharmacist | 3013 Allison Cove Dr, Charleston, SC 29412-4971 | 2008-05-09 |
| 1093712101 | David J Taber | Pharmacist | Musc Division of Transplant Surgery, 96 Jonathan Lucas St; Csb 409, Charleston, SC 29425-0001 | 2005-07-05 |
| 1467068726 | Jonathan Mansfield | Pharmacist | 109 Bee St, Charleston, SC 29401-5703 | 2020-09-21 |
| 1063027456 | Joli D Fermo | Pharmacist | 280 Calhoun St, Charleston, SC 29425-8906 | 2020-09-11 |
| 1700490125 | Kate Forman | Pharmacist | 4205 Maccorkle Ave Se, Charleston, WV 25304-2501 | 2020-09-02 |
| 1558989905 | Mckenna Nicole Person | Pharmacist | 150 Ashley Ave, Charleston, SC 29425-8907 | 2020-07-13 |
| 1689296121 | Swati Midha | Pharmacist | 316 Calhoun St, Charleston, SC 29401-1113 | 2020-05-07 |
| 1154850576 | Jason S Haney | Pharmacist | 25 Courtenay Dr, Charleston, SC 29425-8906 | 2017-06-08 |
| 1831620053 | Julie Lawrence | Pharmacist | 316 Calhoun St, Charleston, SC 29401-1113 | 2017-03-21 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
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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.