Gregory Steven Kelley

Primary specialty

PharmacistTaxonomy code 183500000X

License

11993 Issued in AL

Practice address

7081 Airport Blvd
Mobile, AL 36608-3712

Phone

(251) 342-0948

NPI assigned

Dec 9, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Alabama CVS Pharmacy LLC

  dba CVS Pharmacy #17862

  • Pharmacy
  • Auburn, AL
  • NPI 1619668076
  NPD (past)

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1457957029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7081 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083712",
            "telephone_number": "251-342-0948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7081 AIRPORT BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366083712",
            "telephone_number": "251-342-0948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "GREGORY",
        "middle_name": "STEVEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "11993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Aukelley91@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7081 Airport Blvd",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366083712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kimberly R. Keith, M.D.
• Wendy Keith
• Melissa Kellam, CRNA
• Diane Keller
• Jacquelyn Keller
• Hannah Kelley
• Kelly Fountain, M.S., L.P.T., L.L.C.
• Jasmine Kelly
• Leah Michelle Kelly, CCC-SLP, AUD
• Patricia Lee Kelly, LMSW

• Pharmacist in Mobile, AL
• Providers in Mobile, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.