Kellie Lynn Allridge, RPH.
Individual provider Active NPI Pharmacist · Temple, PA
NPI 1154554756 · NPPES record last updated Aug 29, 2009
Key facts
- NPI
- 1154554756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP039242L (PA)
- Practice address
- 4220 5TH Street Hwy
Temple, PA 19560-1738 - Phone
- (610) 921-5141
- Fax
- (610) 921-5141
- NPI assigned
- Aug 29, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP039242L | PA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP039242L | PA | Yes |
Addresses
Primary practice location
4220 5TH Street Hwy
Temple, PA 19560-1738
Mailing address
4220 5TH Street Hwy
Temple, PA 19560-1738
Phone (610) 921-5141
Other providers in Temple, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.