Active NPI
Kelley Dunlop, PHARMD
- Pharmacist
- Medford, OR
National Provider Identifier
1396220943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60859478
- Practice address
- 1698 E McAndrews Rd Ste 220
Medford, OR 97504-5590 - Phone
- (541) 732-6960
- NPI assigned
- Sep 29, 2018
- Last updated
- Jul 10, 2019
- 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 | PH60859478 | WA | Primary |
Addresses
Primary practice location
1698 E McAndrews Rd Ste 220
Medford, OR 97504-5590
Mailing address
267 Wimbley St Apt 14
Medford, OR 97501-7524
Phone (630) 229-7431
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 |
|---|---|---|---|
| PH60859478 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562716800000",
"number": "1396220943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "267 WIMBLEY ST APT 14",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975017524",
"telephone_number": "630-229-7431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1698 E MCANDREWS RD STE 220",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975045590",
"telephone_number": "541-732-6960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNLOP",
"first_name": "KELLEY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-29",
"last_updated": "2019-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60859478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.