Active NPI
Kelsey K Gourley, PHARM.D.
- Pharmacist
- Lubbock, TX
National Provider Identifier
1417285602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45625
- Practice address
- 5115 98TH St
Lubbock, TX 79424-7530 - Phone
- (806) 698-1354
- Fax
- (806) 698-1136
- NPI assigned
- Nov 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 45625 | TX | Primary |
Addresses
Primary practice location
5115 98TH St
Lubbock, TX 79424-7530
Mailing address
5115 98TH St
Lubbock, TX 79424-7530
Phone (806) 698-1354
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1259193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259193600000",
"number": "1417285602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5115 98TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794247530",
"telephone_number": "806-698-1354",
"fax_number": "806-698-1136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 98TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794247530",
"telephone_number": "806-698-1354",
"fax_number": "806-698-1136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOURLEY",
"first_name": "KELSEY",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-26",
"last_updated": "2009-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "45625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.