Individual provider Active NPI

Kelli L Koehler

  • Pharmacist
  • Rochester, NY
National Provider Identifier
1487020244
Registry record updated Nov 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
071378 Issued in NY
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

Updated by the provider on Nov 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
071378NYMDClinical Social Worker
S021282AZMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
CVS Albany LLC CurrentSince Nov 18, 2025 Accepting new patients
CVS Albany LLC PastSince Nov 18, 2025 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.

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.

Verify at the official NPI Registry.