Anthony Kelly

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI02345200 Issued in NJ

Practice address

1104 Highway 35
Ocean, NJ 07712-4000

Phone

(732) 695-7045

Fax

(732) 695-7098

NPI assigned

Sep 16, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Wegmans Food Markets, Inc.

  • Pharmacy
  • Ocean, NJ
  • NPI 1386626810
  NPD (past)
• Wegmans Food Markets, Inc.

  • Pharmacy
  • Raleigh, NC
  • NPI 1467227678
  NPD (past)

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1104596675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 HIGHWAY 35",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124000",
            "telephone_number": "732-695-7045",
            "fax_number": "732-695-7098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 HIGHWAY 35",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077124000",
            "telephone_number": "732-695-7045",
            "fax_number": "732-695-7098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02345200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly A. Kahn, LCSW
• Valerie Ann Karabin, LPC
• Fawaz Kashlan
• Kashmira Patel MD LLC
• Brinley Kaston, LCSW
• Laura A Kelly, D.P.T.
• Tamiyah Kelly
• Evan Bret Kelner, DPM
• Debra Kimball-Ritter, L.C.S.W.
• Kimberly Kahn, LLC

• Pharmacist in Ocean, NJ
• Providers in Ocean, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.