Kelley Song, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

46604 Issued in CA

Practice address

1339 W Garvey Ave N
West Covina, CA 91790-2242

Phone

(626) 814-0111

Fax

(888) 216-2114

NPI assigned

Aug 19, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Locations

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.

• Diabetes Care Pharmacy

  dba Diabetes Care Partners

  • Health Service Clinic/Center
  • West Covina, CA
  • NPI 1871623280
  NPD
• Access Innovative Health

  • Health Service Clinic/Center
  • West Covina, CA
  • NPI 1972139103
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649385022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 W GARVEY AVE N",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902242",
            "telephone_number": "626-814-0111",
            "fax_number": "888-216-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 W GARVEY AVE N",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902242",
            "telephone_number": "626-814-0111",
            "fax_number": "888-216-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "KELLEY",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "46604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Solis
• Daniel Solomin, D.O.
• Elena Solorzano, PPS
• Cinthia Soltero Quintana
• Duk Ja Song, AC
• Tony Song
• Yu Lee Song, PHARMD
• Samantha Jeline Sonora
• Sora Home Health, Inc.
• Roselyn Soria

• Pharmacist in West Covina, CA
• Providers in West Covina, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.