Kelsey Lorraine Speciale, PHARMD, CDCES

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

S022680 Issued in AZ

Practice address

1500 W Commerce CT
Tucson, AZ 85746-6031

Phone

(520) 309-3103

NPI assigned

Aug 4, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kelsey Lorraine Royball Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• El Rio Santa Cruz Neighborhood Health Center

  • Federally Qualified Health Center (FQHC)
  • Tucson, AZ
  • NPI 1528487782
  NPD (past)

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1043735624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W COMMERCE CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466031",
            "telephone_number": "520-309-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W COMMERCE CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466031",
            "telephone_number": "520-309-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECIALE",
        "first_name": "KELSEY",
        "middle_name": "LORRAINE",
        "credential": "PHARMD, CDCES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-04",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "AZ",
            "license": "S022680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "ROYBALL",
            "middle_name": "LORRAINE",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Samuel Spearin
• Tempest Spears, RN
• Lloyd Spece, MD
• Selena Specht
• Special Needs Vehicles, Inc.
• Specialists in Dermatology, PLLC
• Mary Specio-Boyer, LISAC, LMSW
• Patti Sue Speck, M ED CCC SLP
• Spectrum Healthcare Group, Inc.
• Speech and Swallow Consultants

• All providers in Tucson, AZ
• Ambulatory Care Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.