Active NPI
Laura Kellum, PHARM.D
- Pharmacist
- Spring, TX
National Provider Identifier
1386925790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14663
- Practice address
- 23110 Aldine Westfield Rd
Spring, TX 77373-7738 - Phone
- (281) 350-5311
- Fax
- (281) 350-1791
- NPI assigned
- Aug 30, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-09941 | MS | |
| Pharmacist | 183500000X | 14663 | OK | Primary |
Addresses
Primary practice location
23110 Aldine Westfield Rd
Spring, TX 77373-7738
Mailing address
23110 Aldine Westfield Rd
Spring, TX 77373-7738
Phone (281) 350-5311
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 |
|---|---|---|---|
| E-09941 | MS | MD | Pharmacist |
| 14663 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671667200000",
"number": "1386925790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23110 ALDINE WESTFIELD RD",
"city": "SPRING",
"state": "TX",
"postal_code": "773737738",
"telephone_number": "281-350-5311",
"fax_number": "281-350-1791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23110 ALDINE WESTFIELD RD",
"city": "SPRING",
"state": "TX",
"postal_code": "773737738",
"telephone_number": "281-350-5311",
"fax_number": "281-350-1791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLUM",
"first_name": "LAURA",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-30",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-09941",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "14663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.