Tim Kelly, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

16599 Issued in CO

Practice address

3122 White Oak Trail
Highlands Ranch, CO 80129

Phone

(720) 344-9863

NPI assigned

Sep 15, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1295017192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 WHITE OAK TRAIL",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 WHITE OAK TRAIL",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80129",
            "telephone_number": "720-344-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "TIM",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "16599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Campbell Kauk, D.O.
• Walter Chad Keasler III, OTR
• Amy M Keller, PT
• Elise Marie Kelly, OTR/L
• Sarah R Kelly, P.T.
• Mary Kay Kennedy, MA,LPC,CACIII
• April Renee Kenworthy, RDH
• David Kern, MD
• Alice Keshmeshian
• Chadwick Kesner, D.C.

• Pharmacist in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.