Active NPI
Elizabeth Kelley, PHARMD
- Oncology Pharmacist
- Richmond, VA
National Provider Identifier
1306941356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 0202211672
- Practice address
- 5875 Bremo Rd Ste 209
Richmond, VA 23226-1934 - Phone
- (804) 287-7804
- Fax
- (804) 287-7178
- NPI assigned
- Sep 14, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 049718 | NY | |
| Pharmacist | 183500000X | 2002 | AK | |
| Oncology Pharmacist | 1835X0200X | PH100001285 | DC | |
| Oncology Pharmacist | 1835X0200X | 0202211672 | VA | Primary |
Addresses
Primary practice location
5875 Bremo Rd Ste 209
Richmond, VA 23226-1934
Mailing address
5875 Bremo Rd Ste 209
Richmond, VA 23226-1934
Phone (804) 287-7804
Other practice location 1
6501 Loisdale Ct
Springfield, VA 22150-1826
Phone (703) 922-1530
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002 | AK | MD | Pharmacist |
| PH100001285 | DC | MD | Oncology Pharmacist |
| 0202211672 | VA | MD | Oncology Pharmacist |
| 049718 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1306941356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5875 BREMO RD STE 209",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261934",
"telephone_number": "804-287-7804",
"fax_number": "804-287-7178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5875 BREMO RD STE 209",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261934",
"telephone_number": "804-287-7804",
"fax_number": "804-287-7178"
}
],
"practiceLocations": [
{
"address_1": "6501 Loisdale Ct",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "VA",
"postal_code": "221501826",
"country_code": "US",
"telephone_number": "703-922-1530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLEY",
"first_name": "ELIZABETH",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "049718",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "2002",
"primary": false
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "DC",
"license": "PH100001285",
"primary": false
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "VA",
"license": "0202211672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.