Active NPI
Lela Smith Kelley, PHARMD
- Pharmacist
- Dothan, AL
National Provider Identifier
1326638826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 23087
- Practice address
- 3525 Ross Clark Circle
Suite 100
Dothan, AL 36303 - Phone
- (334) 792-4812
- Fax
- (334) 792-4628
- NPI assigned
- Jan 19, 2021
- Last updated
- Feb 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23087 | AL | Primary |
Addresses
Primary practice location
3525 Ross Clark Circle
Suite 100
Dothan, AL 36303
Mailing address
3525 Ross Clark Circle
Suite 100
Dothan, AL 36303
Phone (334) 792-4812
Other names 1
- Lela Katherine Smith
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 |
|---|---|---|---|
| 23087 | AL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Alabama LLC | Past | Accepting new patients | |
| Publix Alabama, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1326638826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3525 ROSS CLARK CIRCLE",
"address_2": "SUITE 100",
"city": "DOTHAN",
"state": "AL",
"postal_code": "36303",
"telephone_number": "334-792-4812",
"fax_number": "334-792-4628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 ROSS CLARK CIRCLE",
"address_2": "SUITE 100",
"city": "DOTHAN",
"state": "AL",
"postal_code": "36303",
"telephone_number": "334-792-4812",
"fax_number": "334-792-4628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "LELA",
"middle_name": "SMITH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-19",
"last_updated": "2024-02-22",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "23087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LELA",
"last_name": "SMITH",
"middle_name": "KATHERINE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.