Michael Patrick Kelly Jr., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

16256 Issued in CO

Practice address

425 S Cherry St Ste 200
Denver, CO 80246-1229

Phone

(303) 524-6126

NPI assigned

Aug 21, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1205260650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 MESA MOUNTAIN WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233450",
            "telephone_number": "303-915-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S CHERRY ST STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802461229",
            "telephone_number": "303-524-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "16256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16356",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorraine Noel Kelly
• Mackenzie Elizabeth Kelly, COTA/L
• Madeleine Kelly
• McKenna Kelly, MD
• Melanie Kelly
• Michele Kelly, PSYD
• Polina Rovner Kelly, M.D.
• Samantha Kelly, MS CCC-SLP
• Samantha Josephine Kelly, B.A.
• Sharon Sue Kelly, DO

• Pharmacist in Denver, CO
• Providers in Denver, CO by specialty
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.