Kellen Elayne Danley, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS55321 Issued in FL

Practice address

12401 Commerce Lakes Dr Unit C
Fort Myers, FL 33913-8663

Phone

(239) 789-7784

NPI assigned

Dec 5, 2018

Last updated

Dec 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gateway Drugs PLLC

  dba Gateway Rx

  • Community/Retail Pharmacy
  • Fort Myers, FL
  • NPI 1245797554
  NPD (past) Authorized official

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

{
    "created_epoch": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1316418197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11334 LAKELAND CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339136913",
            "telephone_number": "239-789-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12401 COMMERCE LAKES DR UNIT C",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339138663",
            "telephone_number": "239-789-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANLEY",
        "first_name": "KELLEN",
        "middle_name": "ELAYNE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS55321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniele Medical Equipment LLC
• Danielle Jediny-Racies (Danielle Jediny-Racies, LMFT)
• Daniels Modern Dentistry, PA (Daniels Modern Dentistry)
• Jennifer Danis, LMHC
• Debra Marie Danley, LCSW
• Carey Danna, LCSW
• Briana Elizabeth Dannecker, OTR/L
• Joyce Dannemiller, CRNA
• Leslie Rae Danner, ED.S
• Michael D Danzig, MD

• Pharmacist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.