KELLYANN DALEY (NPI# 1720377005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720377005 |
| Entity Type | Individual |
| Full Name | KELLYANN DALEY |
| Credential | PHARM. D |
| Practice Address |
401 South Main St Old Forge PA 18518 |
| Mailing Address |
401 South Main St Old Forge PA 18651 |
| Practice Telephone | 5704570844 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP442051 | PA | Pharmacy Service Providers |
| Street Address |
401 SOUTH MAIN ST |
| City | OLD FORGE |
| State | PA |
| Zip Code | 18518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134536519 | Geisinger Clinic | Family Medicine | 939 Moosic Road, Old Forge, PA 18518 | 2014-07-17 |
| 1407285331 | Kelly A. Bartels | Occupational Therapist | 106 Tamara Dr, Old Forge, PA 18518 | 2013-11-01 |
| 1114216967 | Bridget Elizabeth Thomas | Pharmacist | 401-403 Main St, Old Forge, PA 18518 | 2011-04-01 |
| 1720377666 | Deborah M. Dunbar | Pharmacist | 401-403 South Main St., Old Forge, PA 18518 | 2011-03-31 |
| 1215235114 | Verna Mae Saleski | Nurse Practitioner | 1315 Colfax Ave, Maternal Family Health Services Circle of Care, Scranton, PA 18518 | 2011-03-02 |
| 1801909528 | Jan Charles Stampien | Dentist | 121 Moosic Rd, Old Forge Medical Center, Old Forge, PA 18518 | 2006-08-16 |
| 1700810835 | William Allen Stang Jr. | Specialist/Technologist | 501 South Main St, Physical Therapy Associates Nepa, Old Forge, PA 18518 | 2006-07-11 |
| 1093784076 | Stephen Robert Paranich | Chiropractor | 102 N Main St, Old Forge, PA 18518 | 2006-03-14 |
| 1801009196 | Pennsylvania Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 101 S. Main St, Old Forge, PA 18518 | 2007-05-07 |
| 1831251727 | Nicholas E Pecuch | Dentist | 165 N Main St, Old Forge, PA 18518 | 2006-12-15 |
| Find all providers in zip 18518 | ||||
| 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 |
|---|---|---|---|---|
| 1821419136 | Fiore Cremard IIi | Pharmacist | 210 E Morton St, Old Forge, PA 18518-1941 | 2014-01-05 |
| 1326479098 | Timothy Burns | Pharmacist | 110 Seneca Dr, Old Forge, PA 18518-1598 | 2013-12-06 |
| 1770872392 | Sarah J Mucciolo | Pharmacist | 191 S Keyser Ave, Old Forge, PA 18518-1148 | 2011-04-04 |
| 1114216967 | Bridget Elizabeth Thomas | Pharmacist | 401-403 Main St, Old Forge, PA 18518 | 2011-04-01 |
| 1720377666 | Deborah M. Dunbar | Pharmacist | 401-403 South Main St., Old Forge, PA 18518 | 2011-03-31 |
| 1104149434 | Stephen Brosky | Pharmacist | 213 Amity Ave, Old Forge, PA 18518-1034 | 2010-03-01 |
| 1518114974 | Sandra Scavo | Pharmacist | 749 Clevio St, Old Forge, PA 18518-2232 | 2008-08-27 |
| 1336325695 | Deborah Brosemer | Pharmacist | 2964 State Route 28, Old Forge, NY 13420 | 2008-01-17 |
| 1306212444 | Jl Slocum LLC | Pharmacist | 821 S Main St, Suite 1, Old Forge, PA 18518-1497 | 2015-08-12 |
| 1306135926 | Michael J Mucciolo | Pharmacist | 191 S Keyser Ave, Old Forge, PA 18518-1148 | 2011-04-05 |
| Find all providers in OLD FORGE | ||||
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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.