Active NPI
Dwight Kelley
- Pharmacist
- Northampton, MA
National Provider Identifier
1174705974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26889
- Practice address
- 30 Locust Street
Cooley Dickinson Hospital
Northampton, MA 01061-5001 - Phone
- (413) 582-2116
- NPI assigned
- Dec 4, 2007
- Sex
- Male
- 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 | 26889 | MA | Primary |
Addresses
Primary practice location
30 Locust Street
Cooley Dickinson Hospital
Northampton, MA 01061-5001
Mailing address
83 Wellesley Rd
Holyoke, MA 01040-2028
Phone (413) 532-1088
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 |
|---|---|---|---|
| 26889 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1174705974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 WELLESLEY RD",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010402028",
"telephone_number": "413-532-1088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 LOCUST STREET",
"address_2": "COOLEY DICKINSON HOSPITAL",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010615001",
"telephone_number": "413-582-2116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "DWIGHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-04",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "26889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.