Active NPI
Kelly Drollinger, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Ontario, OR
National Provider Identifier
1033455688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH-0011243
- Practice address
- 88 SW 3Rd Ave
Ontario, OR 97914-2722 - Phone
- (503) 986-6952
- Fax
- (541) 889-0027
- NPI assigned
- Dec 28, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | P6004 | ID | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-0011243 | OR | Primary |
Addresses
Primary practice location
88 SW 3Rd Ave
Ontario, OR 97914-2722
Mailing address
507 Cornwall Way
Fruitland, ID 83619-2548
Phone (208) 860-5863
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 |
|---|---|---|---|
| P6004 | ID | MD | Pharmacist |
| RPH-0011243 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Rivers Correctional Pharmacy | Pharmacist | Current | Accepting new patients |
Locations
88 SW 3rd Ave
Ontario, OR 97914
Phone (503) 986-6952
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1033455688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 CORNWALL WAY",
"city": "FRUITLAND",
"state": "ID",
"postal_code": "836192548",
"telephone_number": "208-860-5863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 SW 3RD AVE",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979142722",
"telephone_number": "503-986-6952",
"fax_number": "541-889-0027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DROLLINGER",
"first_name": "KELLY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-28",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P6004",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-0011243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.