Active NPI
Kelly Lizeth Cole, PHARMD
- Pharmacist
- Kennewick, WA
National Provider Identifier
1205522679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60761524
- Practice address
- 2800 W Clearwater Ave
Kennewick, WA 99336-2945 - Phone
- (509) 783-5412
- NPI assigned
- Apr 17, 2023
- Last updated
- Apr 17, 2023
- Sex
- Female
- 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 | PH60761524 | WA | Primary |
Addresses
Primary practice location
2800 W Clearwater Ave
Kennewick, WA 99336-2945
Mailing address
2800 W Clearwater Ave
Kennewick, WA 99336-2945
Phone (509) 783-5412
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60761524 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2800 W Clearwater Ave
Kennewick, WA 99336
Phone (509) 783-5412
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1205522679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 W CLEARWATER AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993362945",
"telephone_number": "509-783-5412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 W CLEARWATER AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993362945",
"telephone_number": "509-783-5412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "KELLY",
"middle_name": "LIZETH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-17",
"last_updated": "2023-04-17",
"certification_date": "2023-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60761524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.