Individual provider Active NPI

Kelly David Lash, B.A., PHARM.D.

  • Pharmacist
  • Santa Rosa Beach, FL
National Provider Identifier
1285998575
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS50082 Issued in FL
Practice address
27 Mack Bayou Loop Suite #1000
Sacred Heart Medical Oncology Group
Santa Rosa Beach, FL 32549
Phone
(850) 622-0873
Fax
(850) 622-1054
NPI assigned
Jul 2, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS50082 FL Primary
Pharmacist 183500000X 1387 HI
Pharmacist 183500000X 42964 CA

Addresses

Primary practice location

27 Mack Bayou Loop Suite #1000
Sacred Heart Medical Oncology Group
Santa Rosa Beach, FL 32549

Mailing address

360 Sailfish Dr
Destin, FL 32541-2247
Phone (850) 460-5071

Other names 1

  • Dr. Kelly D Lash Other name

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
Bachelor of Arts, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
1387HIMDGeneral Practice Dentistry
PS50082FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1285998575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 SAILFISH DR",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412247",
            "telephone_number": "850-460-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MACK BAYOU LOOP SUITE #1000",
            "address_2": "SACRED HEART MEDICAL ONCOLOGY GROUP",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "32549",
            "telephone_number": "850-622-0873",
            "fax_number": "850-622-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASH",
        "first_name": "KELLY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "B.A., PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-02",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS50082",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "1387",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "42964",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "LASH",
            "middle_name": "D",
            "prefix": "DR.",
            "credential": "PHARM D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Rosa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.