Individual provider Active NPI

Kelsey Kernan, PHARMD

  • Pharmacist
  • Wilsonville, OR
National Provider Identifier
1659855229
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0016869 Issued in OR
Practice address
8235 SW Wilsonville Rd
Wilsonville, OR 97070-7718
Phone
(503) 682-2701
NPI assigned
Sep 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0016869 OR Primary

Addresses

Primary practice location

8235 SW Wilsonville Rd
Wilsonville, OR 97070-7718

Mailing address

29965 SW Rose LN Apt 103
Wilsonville, OR 97070-8809
Phone (309) 230-8144

Other practice location 1

8235 SW Wilsonville Rd
Wilsonville, OR 97070-7718
Phone (503) 682-2701

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
0016869ORMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1659855229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29965 SW ROSE LN APT 103",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708809",
            "telephone_number": "309-230-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 SW WILSONVILLE RD",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970707718",
            "telephone_number": "503-682-2701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8235 SW Wilsonville Rd",
            "address_purpose": "LOCATION",
            "city": "Wilsonville",
            "state": "OR",
            "postal_code": "970707718",
            "country_code": "US",
            "telephone_number": "503-682-2701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERNAN",
        "first_name": "KELSEY",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0016869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilsonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.