Jill Lea Kelso, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

38007 Issued in TX

Practice address

5749 Sherwood Way
San Angelo, TX 76901-5643

Phone

(325) 223-1426

Fax

(325) 223-1729

NPI assigned

Nov 3, 2020

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

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1396346649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 FM 765 W",
            "city": "PAINT ROCK",
            "state": "TX",
            "postal_code": "768663806",
            "telephone_number": "325-234-0860",
            "fax_number": "325-223-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5749 SHERWOOD WAY",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015643",
            "telephone_number": "325-223-1426",
            "fax_number": "325-223-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELSO",
        "first_name": "JILL",
        "middle_name": "LEA",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "38007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Marek Keating, P.T.
• Madison Paige Keele
• Ilda Lombardi Keenum, LVN
• Kelly K. Sawyer, D.D.S., P.a.
• Diana L Kelly, PMHNP-BC
• Kelly Marie Kelso, MS
• Brandt Kephart
• Amanda Kern, PHARMD
• Cassandra Key
• Mallory Ann Khantharasy, M.S., CCC-SLP

• Pharmacist in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.