Active NPI
Makayla Marie Kelly, PHARMD
- Pharmacist
- Warrenton, MO
National Provider Identifier
1013697226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2023028913
- Practice address
- 500 Warren County Ctr
Warrenton, MO 63383-3023 - Phone
- (636) 456-4243
- NPI assigned
- Jul 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2023028913 | MO | Primary |
Addresses
Primary practice location
500 Warren County Ctr
Warrenton, MO 63383-3023
Mailing address
9404 Alpine Dr
Saint Louis, MO 63123-4456
Phone (409) 289-7413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023028913 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1013697226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9404 ALPINE DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631234456",
"telephone_number": "409-289-7413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WARREN COUNTY CTR",
"city": "WARRENTON",
"state": "MO",
"postal_code": "633833023",
"telephone_number": "636-456-4243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "MAKAYLA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-21",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2023028913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.