Active NPI
Kelly Lyn Moran, PHARMD
- Pharmacist
- Hot Springs, SD
National Provider Identifier
1114013331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS31743
- Practice address
- 500 N 5TH St
Pharmacy
Hot Springs, SD 57747-1480 - Phone
- (605) 745-2000
- Fax
- (605) 745-2966
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 21, 2022
- 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 | PS31743 | FL | Primary |
Addresses
Primary practice location
500 N 5TH St
Pharmacy
Hot Springs, SD 57747-1480
Mailing address
PO Box 910
Hot Springs, SD 57747-0910
Phone (605) 745-2000
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 |
|---|---|---|---|
| PS31743 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1114013331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 910",
"city": "HOT SPRINGS",
"state": "SD",
"postal_code": "577470910",
"telephone_number": "605-745-2000",
"fax_number": "605-745-2066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N 5TH ST",
"address_2": "PHARMACY",
"city": "HOT SPRINGS",
"state": "SD",
"postal_code": "577471480",
"telephone_number": "605-745-2000",
"fax_number": "605-745-2966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORAN",
"first_name": "KELLY",
"middle_name": "LYN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS31743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hot Springs, SD
- Beth Ann Monsebroten, CNP
- Monument Health Network, Inc. (Monument Health Hot Springs Clinic)
- Monument Health Network, Inc. (Monument Health Hot Springs Clinic)
- Raymond Paul Moore
- Spring Moore, LCSW
- Michelle Marie Mueller
- Jonathan Paul Nebelsick, OD
- Neuromusculoskeletal Rehabilitation and Pain Clinic, P.C. (NMS Rehab Clinic, P.C.)
- New Leaf Counseling
- Melissa S Nolan, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.