Individual provider Active NPI

Kelsey Winborn Andreoli, PHARMD

  • Pharmacist
  • Orange Beach, AL
National Provider Identifier
1649820663
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21160 Issued in AL
Practice address
25241 Perdido Beach Blvd
Orange Beach, AL 36561-3309
Phone
(251) 974-1824
NPI assigned
Sep 12, 2019
Last updated
Sep 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21160 AL Primary

Addresses

Primary practice location

25241 Perdido Beach Blvd
Orange Beach, AL 36561-3309

Mailing address

25314 Spindle LN
Daphne, AL 36526-5403
Phone (731) 607-8086

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

LicenseStateTypeSpecialty
21160ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores East, LP PastSince Sep 15, 2019 Accepting new patients
Wal-Mart Stores East LP PastSince Sep 15, 2019 Accepting new patients

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": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1649820663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25314 SPINDLE LN",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365265403",
            "telephone_number": "731-607-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25241 PERDIDO BEACH BLVD",
            "city": "ORANGE BEACH",
            "state": "AL",
            "postal_code": "365613309",
            "telephone_number": "251-974-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREOLI",
        "first_name": "KELSEY",
        "middle_name": "WINBORN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "21160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Beach, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.