David Adam Kelly, PHARMD
Individual provider Active NPI Pharmacist · Hazel Green, AL
NPI 1053727040 · NPPES record last updated Aug 9, 2025
Key facts
- NPI
- 1053727040
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 14821 (AL)
- Practice address
- 14731 Highway 231 431 N
Hazel Green, AL 35750-8187 - Phone
- (256) 829-6032
- Fax
- (256) 829-6032
- NPI assigned
- Jul 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14821 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 14821 | AL | Yes |
Addresses
Primary practice location
14731 Highway 231 431 N
Hazel Green, AL 35750-8187
Mailing address
105 Bayside LN
Toney, AL 35773-5730
Phone (256) 452-5999
Other providers in Hazel Green, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.