Active NPI
Kelli L Koehler
- Pharmacist
- Rochester, NY
National Provider Identifier
1487020244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 071378
- Practice address
- 878 Long Pond Rd
Rochester, NY 14612-3049 - Phone
- (585) 723-3051
- NPI assigned
- Aug 17, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 071378 | NY | Primary |
| Pharmacist | 183500000X | S021282 | AZ |
Addresses
Primary practice location
878 Long Pond Rd
Rochester, NY 14612-3049
Mailing address
17 Giovanni LN
Hilton, NY 14468-9424
Phone (716) 712-7386
Other practice location 1
6895 E Sunrise Dr
Tucson, AZ 85750-0831
Phone (520) 615-4800
Other names 1
- Kelli Honan
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071378 | NY | MD | Clinical Social Worker |
| S021282 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Albany LLC | Current | Accepting new patients | |
| CVS Albany LLC | Past | Accepting new patients |
Locations
878 Long Pond Rd
Rochester, NY 14612
Phone (585) 723-3051
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.
-
- Pharmacy
- Rochester, NY
- NPI 1659475473
-
- Pharmacy
- Brooklyn, RI
- NPI 1679459481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763164800000",
"number": "1487020244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 GIOVANNI LN",
"city": "HILTON",
"state": "NY",
"postal_code": "144689424",
"telephone_number": "716-712-7386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "878 LONG POND RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146123049",
"telephone_number": "585-723-3051"
}
],
"practiceLocations": [
{
"address_1": "6895 E Sunrise Dr",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857500831",
"country_code": "US",
"telephone_number": "520-615-4800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOEHLER",
"first_name": "KELLI",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-17",
"last_updated": "2025-11-15",
"certification_date": "2025-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "071378",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S021282",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLI",
"last_name": "HONAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.