Active NPI
Kelson Drug Inc
Doing business as Kelson Discount Drug
- Community/Retail Pharmacy
- Marianna, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- KELSON DRUG INC
- Doing business as
- Kelson Discount Drug
- Practice address
- 3008 Jefferson St
Suite B
Marianna, FL 32446-2318 - Phone
- (850) 526-2839
- Fax
- (850) 526-5259
- NPI assigned
- Jul 1, 2005
- Last updated
- Feb 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lee J Temples
- Title
- President, Pharmacy Manager
- Phone
- (850) 526-2839
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
3008 Jefferson St
Suite B
Marianna, FL 32446-2318
Mailing address
3008 Jefferson St
Suite B
Marianna, FL 32446-2318
Phone (850) 526-2839
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1041754 | Other | FL | NABP |
| 121109800 | Medicaid | FL |
Other names 1
- Kelson Discount Drug
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240809002650 | FL | Part B Supplier - Mass Immunization (Roster Biller Only) | 9537607452 | Practice locations: Marianna, FL |
National Provider Directory
National Provider DirectoryLocations
3008 Jefferson St
#B
Marianna, FL 32446
Phone (850) 526-2839
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Marianna, FL
- NPI 1982913158
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738540800000",
"number": "1245237502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3008 JEFFERSON ST",
"address_2": "SUITE B",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324462318",
"telephone_number": "850-526-2839",
"fax_number": "850-526-5259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3008 JEFFERSON ST",
"address_2": "SUITE B",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324462318",
"telephone_number": "850-526-2839",
"fax_number": "850-526-5259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELSON DRUG INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-01",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A",
"authorized_official_last_name": "TEMPLES",
"authorized_official_first_name": "LEE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT, PHARMACY MANAGER",
"authorized_official_telephone_number": "850-526-2839"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "1041754",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121109800",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kelson Discount Drug",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marianna, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.