William Michael Kelly, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH0014997 Issued in OR

Practice address

3528 Lone Pine Rd
Medford, OR 97504-5668

Phone

(541) 973-2367

NPI assigned

May 19, 2019

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 and National Provider Directory roles.

• Downtown Pharmacy Inc.

  • Community/Retail Pharmacy
  • Medford, OR
  • NPI 1255623401
  NPD (past)

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

{
    "created_epoch": "1558224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558224000000",
    "number": "1417513003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 LAURELWOOD DR",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309424",
            "telephone_number": "541-821-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3528 LONE PINE RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045668",
            "telephone_number": "541-973-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "WILLIAM",
        "middle_name": "MICHAEL",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-19",
        "last_updated": "2019-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH0014997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merrick Kelly-Robinson, LPC
• Bradley G. Kelly, P.T.
• Kary Anne Kelly, NP-PP
• Rose Kathleen Kelly
• Sarah Ann Kelly
• Melanie Marcia Kelsey, LCSW
• Benjamin Kelso
• Erin Brooke Kemp
• Haley Lynn Kemper
• Leslie J Kendall

• Pharmacist in Medford, OR
• Providers in Medford, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.