MARTIN FREDERICK KELLY (NPI# 1801008156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801008156 |
| Entity Type | Individual |
| Full Name | MARTIN FREDERICK KELLY |
| Practice Address |
19 County Route 401 Greenville NY 12083-2100 |
| Practice Telephone | 5189665624 |
| Mailing Telephone | 5189665624 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 032555 | NY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558778571 | Martin Akiwande Kelly Sr. | Counselor | 50 Redfield St, Suite 300, Dorchester, MA 02122-3630 | 2014-07-22 |
| 1851575476 | Martin J Kelly | Nurse Anesthetist, Certified Registered | 2710 Rife Medical Ln, Rogers, AR 72758-1452 | 2007-12-18 |
| 1447300702 | Martin J. Kelly | Physician Assistant | 263 Farmington Ave, Provider Enrollment, Farmington, CT 06030-2212 | 2007-01-11 |
| 1437215951 | Martin J. Kelly | Counselor | John Dempsey Hospital, 263 Farmington Avenue, Mc-6410, Farmington, CT 06030-0001 | 2006-12-29 |
| 1710951678 | Martin J. Kelly | Pediatrics | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2006-02-15 |
| 1255322426 | Martin Joseph Kelly | Psychiatry & Neurology | 850 Boylston St, Dept of Psychiatry Ste 303, Chestnut Hill, MA 02467-2477 | 2005-11-04 |
| Street Address |
19 COUNTY ROUTE 401 |
| City | GREENVILLE |
| State | NY |
| Zip Code | 12083-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235644030 | Rebecca Ann Knowles | Pharmacist | 4852 Route 81, Greenville, NY 12083 | 2017-12-04 |
| 1386005387 | Debbie Huston | Occupational Therapy Assistant | 442 Route 38, Greenville, NY 12083 | 2016-03-18 |
| 1982975017 | Lorri Ann Gardner | Occupational Therapy Assistant | 5600 Sr 81, Greenville, NY 12083 | 2012-01-20 |
| 1891063012 | Kelly's Pharmacy Inc. | Pharmacy | 4852 State Route 81, Greenville, NY 12083 | 2011-12-02 |
| 1265740484 | Jack Prayto | Physical Therapy Assistant | 442 Rte 38, Greenville, NY 12083 | 2010-09-22 |
| 1114195971 | Todd Mehlman | Dentist | 44 Bryant's Country Square, Greenville, NY 12083 | 2008-02-14 |
| 1073790762 | Ciani & Morris Physical Therapy | Specialist | Rr 1 Rte 32 South, Greenville, NY 12083 | 2008-01-25 |
| 1831319458 | Gloria Fuina Darrah Rpa | Internal Medicine | 20 Bryant's Country Square, Greenville, NY 12083 | 2007-04-26 |
| 1427276336 | Deborah Winne | Physical Therapy Assistant | Rr1 Rte 32 So, Greenville, NY 12083 | 2007-04-23 |
| 1174679302 | Julio Antonio Sosa | Internal Medicine | 20 Bryants Country Square, Greenville, NY 12083 | 2007-01-29 |
| Find all providers in zip 12083 | ||||
| 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 |
|---|---|---|---|---|
| 1457963092 | Aericka Oneal | Pharmacist | 101 Greenville Bypass, Greenville, AL 36037 | 2020-08-17 |
| 1558983486 | Matthew Klieforth | Pharmacist | N2345 Weatherhill Ct, Greenville, WI 54942-8070 | 2020-05-14 |
| 1619596160 | Anna K Lee | Pharmacist | 9665 Highway 150, Greenville, IN 47124-9233 | 2020-04-14 |
| 1255960415 | Randall Lewis Clark | Pharmacist | 43 Williamson Rd Ste B, Greenville, PA 16125-1224 | 2020-04-08 |
| 1598320657 | Byeori Kim | Pharmacist | 2953 Beunavista Ct, Greenville, NC 27834-6237 | 2019-05-04 |
| 1528524212 | Taylor Matthew Sanders | Pharmacist | 103 Gilstrap Dr, Greenville, SC 29609-3124 | 2019-02-18 |
| 1407322423 | Doree Richardson | Pharmacist | 200 Patewood Dr Ste B150, Greenville, SC 29615-6339 | 2018-10-17 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1225537996 | Andrew Brown | Pharmacist | 500 Guilder Ln, Greenville, NC 27858-6580 | 2018-02-07 |
| 1235644030 | Rebecca Ann Knowles | Pharmacist | 4852 Route 81, Greenville, NY 12083 | 2017-12-04 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 12083 |
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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.