Active NPI
Andrew Perry Kelly, PHARMD
- Pharmacist
- Bastrop, LA
National Provider Identifier
1629791884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 024547
- Practice address
- 1930 E Madison Ave
Bastrop, LA 71220-4034 - Phone
- (318) 281-7410
- Fax
- (318) 281-7890
- NPI assigned
- Sep 22, 2022
- Last updated
- Mar 1, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 024547 | LA | Primary |
Addresses
Primary practice location
1930 E Madison Ave
Bastrop, LA 71220-4034
Mailing address
1930 E Madison Ave
Bastrop, LA 71220-4034
Phone (318) 281-7410
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024547 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co. | Current | Accepting new patients | |
| Perkins Family Pharmacy LLC | Past | Accepting new patients | |
| Perkins Health Management LLC | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
1930 E Madison Ave
Bastrop, LA 71220
Phone (318) 281-7410
Organizations & group practices 4
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.
-
dba Perkins Family Pharmacy
- Community/Retail Pharmacy
- Oak Grove, LA
- NPI 1275074189
-
dba Perkins Health Management
- Health Service Clinic/Center
- Oak Grove, LA
- NPI 1326754250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1629791884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 E MADISON AVE",
"city": "BASTROP",
"state": "LA",
"postal_code": "712204034",
"telephone_number": "318-281-7410",
"fax_number": "318-281-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 E MADISON AVE",
"city": "BASTROP",
"state": "LA",
"postal_code": "712204034",
"telephone_number": "318-281-7410",
"fax_number": "318-281-7890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "ANDREW",
"middle_name": "PERRY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-22",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "024547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bastrop, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.