Active NPI
Kelly A. Hackney, PHARM.D.
- Pharmacist
- Lacey, WA
National Provider Identifier
1104075654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60010903
- Practice address
- 4525 3Rd Ave SE Ste 200
Lacey, WA 98503-1010 - Phone
- (360) 301-8111
- NPI assigned
- Sep 9, 2008
- Sex
- Female
- Sole proprietor
- No
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 | PH60010903 | WA | Primary |
Addresses
Primary practice location
4525 3Rd Ave SE Ste 200
Lacey, WA 98503-1010
Mailing address
4525 3Rd Ave SE Ste 200
Lacey, WA 98503-1010
Phone (360) 301-8111
Other names 1
- Kelly Philopant
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 |
|---|---|---|---|
| PH60010903 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1104075654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 3RD AVE SE STE 200",
"city": "LACEY",
"state": "WA",
"postal_code": "985031010",
"telephone_number": "360-301-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 3RD AVE SE STE 200",
"city": "LACEY",
"state": "WA",
"postal_code": "985031010",
"telephone_number": "360-301-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKNEY",
"first_name": "KELLY",
"middle_name": "A.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-09",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60010903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "PHILOPANT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lacey, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.