Active NPI
Kelly Mary McRell
- Pharmacist
- Liberty, NY
National Provider Identifier
1114249828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042880
- Practice address
- 1987 Route 52 Ste 3
Liberty, NY 12754-8317 - Phone
- (845) 292-8200
- Fax
- (845) 292-9803
- NPI assigned
- Feb 22, 2010
- Last updated
- Feb 22, 2010
- 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 | 042880 | NY | Primary |
Addresses
Primary practice location
1987 Route 52 Ste 3
Liberty, NY 12754-8317
Mailing address
1987 Route 52 Ste 3
Liberty, NY 12754-8317
Phone (845) 292-8200
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266796800000",
"number": "1114249828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1987 ROUTE 52 STE 3",
"city": "LIBERTY",
"state": "NY",
"postal_code": "127548317",
"telephone_number": "845-292-8200",
"fax_number": "845-292-9803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1987 ROUTE 52 STE 3",
"city": "LIBERTY",
"state": "NY",
"postal_code": "127548317",
"telephone_number": "845-292-8200",
"fax_number": "845-292-9803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCRELL",
"first_name": "KELLY",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-22",
"last_updated": "2010-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "042880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.