Active NPI
Troy M Kelly, RPH
- Pharmacist
- Quinlan, TX
National Provider Identifier
1568209443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35488
- Practice address
- 8934 State Highway 34 S
Quinlan, TX 75474-9436 - Phone
- (903) 356-6020
- NPI assigned
- Jul 9, 2024
- Last updated
- Jul 9, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 11892 | OK | |
| Pharmacist | 183500000X | 35488 | TX | Primary |
Addresses
Primary practice location
8934 State Highway 34 S
Quinlan, TX 75474-9436
Mailing address
8934 State Highway 34 S
Quinlan, TX 75474-9436
Phone (903) 356-6020
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 |
|---|---|---|---|
| 11892 | OK | MD | Pharmacist |
| 35488 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
8934 State Highway 34 S
Quinlan, TX 75474
Phone (903) 356-6020
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1568209443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8934 STATE HIGHWAY 34 S",
"city": "QUINLAN",
"state": "TX",
"postal_code": "754749436",
"telephone_number": "903-356-6020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8934 STATE HIGHWAY 34 S",
"city": "QUINLAN",
"state": "TX",
"postal_code": "754749436",
"telephone_number": "903-356-6020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "TROY",
"middle_name": "M",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-09",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "11892",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "35488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quinlan, TX
- Health Texas Provider Network (Pca-Quinlan)
- Hunt County Medical Properties
- Hunt Memorial Hospital District (Hunt Regional Family Medicine Westlake)
- Hunt Regional Medical Partners
- Individual Care of Texas, Inc
- Kamiann Kimberly King, FNP-C
- Megan Bianca Kubvaruno, SLPA
- Kimberly Autumn Lewis, PHARMD
- Lone Star Wellness
- Kiet Khanh Luu
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.