Active NPI
Thomas Michael Kelly Jr., R.PH., B.SC.
- Pharmacotherapy Pharmacist
- Forked River, NJ
National Provider Identifier
1215958723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 28RI01600600
- Practice address
- 528 West Lacey Road
Forked River, NJ 08731 - Phone
- (609) 242-1400
- Fax
- (609) 242-1496
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI01600600 | NJ | |
| Pharmacotherapy Pharmacist | 1835P1200X | 28RI01600600 | NJ | Primary |
Addresses
Primary practice location
528 West Lacey Road
Forked River, NJ 08731
Mailing address
133 5TH St
Beach Haven, NJ 08008-1937
Phone (609) 492-2574
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI01600600 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Handicapable, Inc. | Current | Accepting new patients | |
| Handicapable, Inc. | Current | Accepting new patients |
Locations
528 Lacey Rd
Forked River, NJ 08731
Phone (609) 242-1400
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 and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Forked River, NJ
- NPI 1720614357
-
- Community/Retail Pharmacy
- Forked River, NJ
- NPI 1912004839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1215958723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 5TH ST",
"city": "BEACH HAVEN",
"state": "NJ",
"postal_code": "080081937",
"telephone_number": "609-492-2574",
"fax_number": "609-242-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "528 WEST LACEY ROAD",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "08731",
"telephone_number": "609-242-1400",
"fax_number": "609-242-1496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "THOMAS",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "R.PH., B.SC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI01600600",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NJ",
"license": "28RI01600600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forked River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.