Trudy Anthony Kelly, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

022617 Issued in GA

Practice address

150 MLK Jr. Blvd
150 MLK Jr Blvd
Monroe, GA 30655-0965

Phone

(770) 267-2559

Fax

(770) 267-4048

NPI assigned

Feb 27, 2019

Last updated

Feb 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walton Drug Co Inc

  dba Carmichaels

  • Long Term Care Pharmacy
  • Monroe, GA
  • NPI 1477449155
  NPD (past)

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1609333525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 965",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306550965",
            "telephone_number": "770-267-2559",
            "fax_number": "770-267-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MLK JR. BLVD",
            "address_2": "150 MLK JR BLVD",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306550965",
            "telephone_number": "770-267-2559",
            "fax_number": "770-267-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "TRUDY",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "022617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Farhana Kaderin
• Pooja H Kalaria, PT
• Rita Safowaa Karikari-Prempeh
• Keeley Kooken MSW LCSW LLC
• Lia Quinn Kelly, PT, DPT
• Karen Khalil, MSN, NP-C
• Asmira Hajric Khashan
• Bryan Thomas Kirkland, MD
• Rebecca Jo Klemsz, PA
• Keeley Danielle Kooken, LCSW

• Pharmacist in Monroe, GA
• Providers in Monroe, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.