Patrick Kelly, RPH, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

7870 Issued in SC

Practice address

2103 Veterans Blvd
Dublin, GA 31021-7502

Phone

(866) 229-7389

NPI assigned

Apr 16, 2018

Sex

Male

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, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1154818177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2797 W ALCORN FARM RD",
            "city": "CHESTER",
            "state": "GA",
            "postal_code": "310129608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 VETERANS BLVD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310217502",
            "telephone_number": "866-229-7389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2797 W Alcorn Farm Rd",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "GA",
            "postal_code": "310129608",
            "country_code": "US",
            "telephone_number": "478-875-4405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "PATRICK",
        "credential": "RPH, PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-16",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH030123",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "7870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sreekanth Kavuri, MD
• Surendranath Kavuri, MD
• Vasavi A Kavuri, MD
• Paul David Kellam Jr., MD
• Sharon D Kellam
• Robert Kennedy III
• Sarah Elizabeth Kirkland
• Natalie Nicole Kirkley, PHARMD
• Leena Fatima Kizilbash, MD
• Dana Michelle Knight, NP-C

• Pharmacist in Dublin, GA
• Providers in Dublin, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.