Kellye Jo McNulty, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202013067 Issued in VA

Practice address

2081 Thomas Bishop LN
Virginia Beach, VA 23454-1129

Phone

(757) 672-2220

NPI assigned

Sep 30, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1134599376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 THOMAS BISHOP LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541129",
            "telephone_number": "757-672-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 THOMAS BISHOP LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234541129",
            "telephone_number": "757-672-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNULTY",
        "first_name": "KELLYE",
        "middle_name": "JO",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202013067",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0202013067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad McNeal, D.O.
• Justin McNeil
• Shaelyn Elizabeth McNeil
• Daniele P McNeill, PH.D.
• John McNeill, PT
• Patricia L McNulty, MD
• Taryn McNutt, DPT
• Haven McPeek
• McPhatter Psychological Services, PLLC
• E Annette McPhatter, PSY.D.

• Pharmacist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.