Active NPI
Kelly Delahunty
- Pharmacist
- Millville, NJ
National Provider Identifier
1154061661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI04234200
- Practice address
- 1111 High St N
Millville, NJ 08332-2528 - Phone
- (856) 293-9717
- NPI assigned
- Mar 31, 2022
- Last updated
- Mar 31, 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 | 28RI04234200 | NJ | Primary |
Addresses
Primary practice location
1111 High St N
Millville, NJ 08332-2528
Mailing address
1111 High St N
Millville, NJ 08332-2528
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI04234200 | Other | NJ | PHARMACIST LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rxm.6902@store.walgreens.com | Walgreen Co |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI04234200 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Interoperability endpoints
- rxm.6902@store.walgreens.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648684800000",
"number": "1154061661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 HIGH ST N",
"city": "MILLVILLE",
"state": "NJ",
"postal_code": "083322528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 HIGH ST N",
"city": "MILLVILLE",
"state": "NJ",
"postal_code": "083322528",
"telephone_number": "856-293-9717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAHUNTY",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-31",
"last_updated": "2022-03-31",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04234200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "28RI04234200",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rxm.6902@store.walgreens.com",
"affiliation": "Y",
"affiliationName": "Walgreen Co",
"address_1": "1111 High St N",
"city": "Millville",
"state": "NJ",
"country_code": "US",
"postal_code": "083322528",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Millville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.