Active NPI
Kristen Kelsey
- Pharmacist
- Kenmore, NY
National Provider Identifier
1225416274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 039408
- Practice address
- 2950 Elmwood Ave
Kenmore, NY 14217-1304 - Phone
- (716) 447-6002
- NPI assigned
- May 11, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 039408 | NY | Primary |
Addresses
Primary practice location
2950 Elmwood Ave
Kenmore, NY 14217-1304
Mailing address
2950 Elmwood Ave
Kenmore, NY 14217-1304
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 |
|---|---|---|---|
| 039408 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431302400000",
"number": "1225416274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 ELMWOOD AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "142171304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 ELMWOOD AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "142171304",
"telephone_number": "716-447-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELSEY",
"first_name": "KRISTEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-11",
"last_updated": "2015-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "039408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.