Shannon Allison Kelly, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0014927 Issued in OR

Practice address

8329 SW Beaverton Hillsdale Hwy BLDG 2
Portland, OR 97225-2215

Phone

(503) 414-5172

NPI assigned

May 15, 2016

Sex

Female

Sole proprietor

No

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": "1463270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1194172668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SW 194TH CT",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970061942",
            "telephone_number": "203-907-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8329 SW BEAVERTON HILLSDALE HWY BLDG 2",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252215",
            "telephone_number": "503-414-5172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1960 NW 167th Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970064805",
            "country_code": "US",
            "telephone_number": "503-672-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLY",
        "first_name": "SHANNON",
        "middle_name": "ALLISON",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-15",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60671456",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0014927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanaz Kelly, PHARMD
• Sara Kelly, OT
• Scott Edward Kelly
• Sean Kelly, CADC I, CRM
• Serena Phromsivarak Kelly, ACPNP
• Shannon Joanne Kelly, PT
• Shawn Kelly
• Shay Juniper Kelly, PH.D.
• Stephen P Kelly, MD
• Suzanne Kelly, RN

• Pharmacist in Portland, OR
• Providers in Portland, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.