Logan Kelley, PHARM. D

Primary specialty

PharmacistTaxonomy code 183500000X

License

010895 Issued in MS

Practice address

2310 Clay St
Vicksburg, MS 39183-3123

Phone

(601) 661-5856

NPI assigned

Apr 16, 2011

Last updated

Apr 16, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302912000000",
    "number": "1033409669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 ASHFORD DR APT 2723",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 CLAY ST",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391833123",
            "telephone_number": "601-661-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "LOGAN",
        "credential": "PHARM. D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-16",
        "last_updated": "2011-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "010895",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "018795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley L Karel, PMHNP-BC
• Simarjit Kaur, PA
• KCC Infusion, LLC (Vicksburg Infusion Center)
• Kevin Keith Keen, D.M.D.
• Keeping Focus LLC.
• Madelyn Grace Kelly
• Rhonda Kemp, FNP
• Timothy P Kerut, MD
• Kidzplay Community
• Freda Jemutai Kigen, PMHNP-BC

• Pharmacist in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.