Michael Eugene Kelly, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP042448L Issued in PA

Practice address

100 Maxis Dr
Malvern, PA 19355-1327

Phone

(484) 321-5656

Fax

(484) 321-5657

NPI assigned

May 21, 2026

Last updated

May 21, 2026By the provider in NPPES

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

Registered Pharmacist

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.

• Camilla Hall Infirmary

  dba Camilla Hall Pharmacy

  • Long Term Care Pharmacy
  • Malvern, PA
  • NPI 1245396555
  NPD (past)
• On Site Dermatology of Pennsylvania PLLC

  • Dermatology Physician
  • Lower Gwynedd, PA
  • NPI 1114369873
  NPD (past)

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

{
    "created_epoch": "1779321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1366372393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 STONERIDGE LN",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAXIS DR",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551327",
            "telephone_number": "484-321-5656",
            "fax_number": "484-321-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MICHAEL",
        "middle_name": "EUGENE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-21",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP042448L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Kawka, PSY.D., BCB
• Alexandria Kazandjian
• Alan S Keller, MD
• Justin Daniel Keller, BSN, RN
• Rosemary B. Keller, NP-C
• Judith A Kenney, LPC
• Krystal Estelle Kierod, PH.D.
• Meghan Kincaid, M.S. CCC-SLP
• Maryann King, MPH, RDN, LDN
• Josephine Cullom Kinney, D.C.

• Pharmacist in Malvern, PA
• Providers in Malvern, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.