KELLY'S PHARMACY (NPI# 1881954857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881954857 |
| Entity Type | Organization |
| Organization Name | KELLY'S PHARMACY |
| Other Organization Name | KELLY'S PHARMACY |
| Practice Address |
520 Everhart Rd Corpus Christi TX 78411-1902 |
| Practice Telephone | 3613344500 |
| Practice Fax Number | 3613344504 |
| Mailing Telephone | 3613344500 |
| Mailing Fax Number | 3613344504 |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | KELECHI AKPUNKU (CEO/OWNER) |
| Authorized Official Telephone | 3613344500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
28055 | TX | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 146603 | 05 | |
| PK | 2135337 | 01 |
| Other Name | Type Code |
|---|---|
| KELLY'S PHARMACY | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | KELLY'S PHARMACY INC. | 1659 Central Avenue, Albany, Ny 12205 |
| Street Address |
520 EVERHART RD |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78411-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487216032 | Robert W. Galbreath | Family Medicine | 3515 S Alameda St, Corpus Christi, TX 78411 | 2019-07-03 |
| 1669952313 | Maranda Deleon | Physical Therapy Assistant | 4406 Stonegate Way, Corpus Christi, TX 78411 | 2018-08-21 |
| 1730675257 | Cns Diagnostics Incorporated | Specialist/Technologist, Other | 5262 South Staples, Ste. 211, Corpus Christi, TX 78411 | 2018-07-09 |
| 1750828257 | Kerr Technical Services, LLC | Technician | 5262 S. Staples St., Suite 220, Corpus Christi, TX 78411 | 2017-01-23 |
| 1700337862 | Rebekah Welty | Audiologist | 3533 Alameda St, Corpus Christi, TX 78411 | 2016-10-24 |
| 1518330059 | Lilo Burda | Counselor | 321 Texan Trl Ste 220, Corpus Christi, TX 78411 | 2015-11-05 |
| 1730557182 | Amy Luu Q.a. Mai | Optometrist | 5488 S. Padre Island Drive, Suite 2042, Corpus Christi, TX 78411 | 2015-09-02 |
| 1487030417 | Luis Fuentes IIi | General Practice | 4818 Holly Rd Ste A, Corpus Christi, TX 78411 | 2015-07-31 |
| 1427430859 | Saguaro Anesthesia Associates, P.a. | Specialist | 4646 Corona Drive Suite #256, Corpus Christi, TX 78411 | 2015-06-22 |
| 1306224605 | Bonnie Lee Braglia Lpc-s,lmft,ccdvc | Community/Behavioral Health | 4659 Everhart Rd. Suite 109, Corpus Christi, TX 78411 | 2015-05-07 |
| Find all providers in zip 78411 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558907162 | Coastal Bend Cancer Center Pharmacy LLC | Pharmacy | 1625 Rodd Field Rd Ste 100-a, Corpus Christi, TX 78412-4926 | 2019-11-19 |
| 1447819479 | Dmb Health At Corpus LLC | Pharmacy | 1335 Santa Fe St Ste 1, Corpus Christi, TX 78404-2213 | 2019-06-12 |
| 1689131625 | Maxor National Pharmacy Services LLC | Pharmacy | 2882 Holly Rd Ste 100, Corpus Christi, TX 78415-4106 | 2019-02-26 |
| 1528336419 | Moores Pharmacy Inc | Pharmacy | 5802 Saratoga Blvd Ste 100, Corpus Christi, TX 78414-4252 | 2011-12-06 |
| 1336243153 | Cvs Pharmacy Inc | Pharmacy | 4102 Ayers St, Corpus Christi, TX 78415-5315 | 2006-09-12 |
| 1609970425 | Cvs Pharmacy Inc | Pharmacy | 1240 S Port Ave, Corpus Christi, TX 78405-2308 | 2006-09-12 |
| 1477657260 | Cvs Pharmacy Inc | Pharmacy | 2102 Airline Rd, Corpus Christi, TX 78414-2640 | 2006-09-12 |
| 1245334069 | Cvs Pharmacy Inc | Pharmacy | 4166 S Staples St, Corpus Christi, TX 78411-2133 | 2006-09-12 |
| 1427152248 | Cvs Pharmacy Inc | Pharmacy | 4801 S Alameda St, Corpus Christi, TX 78412-2332 | 2006-09-12 |
| 1104920909 | Cvs Pharmacy Inc | Pharmacy | 14525 S Padre Island Dr, Suite B, Corpus Christi, TX 78418-5951 | 2006-09-12 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78411 |
Please comment or provide details below to improve the information on KELLY'S PHARMACY.
| 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.