Active NPI
Helen Samantha Kelly, RPH
- Pharmacist
- Beach Haven, NJ
National Provider Identifier
1477528552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI01991200
- Practice address
- 1 S Bay Ave
Beach Haven, NJ 08008-1727 - Phone
- (609) 492-9221
- NPI assigned
- Feb 21, 2006
- 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 | 28RI01991200 | NJ | Primary |
Addresses
Primary practice location
1 S Bay Ave
Beach Haven, NJ 08008-1727
Mailing address
1 S Bay Ave
Beach Haven, NJ 08008-1727
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI01991200 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medicine Solutions, LLC | Current | Accepting new patients | |
| Kelly Kidz Inc | Current | 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 and National Provider Directory roles.
-
dba Medicine Solutions
- Community/Retail Pharmacy
- Manahawkin, NJ
- NPI 1558503276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545091200000",
"number": "1477528552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 S BAY AVE",
"city": "BEACH HAVEN",
"state": "NJ",
"postal_code": "080081727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S BAY AVE",
"city": "BEACH HAVEN",
"state": "NJ",
"postal_code": "080081727",
"telephone_number": "609-492-9221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "HELEN",
"middle_name": "SAMANTHA",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2018-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI01991200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beach Haven, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.