Active NPI
Kelby Sue Ross
- Pharmacist
- Mechanicsburg, PA
National Provider Identifier
1740013549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPI016945
- Practice address
- 255 Cumberland Pkwy
Mechanicsburg, PA 17055-5677 - Phone
- (717) 597-0979
- NPI assigned
- Aug 26, 2024
- Sex
- Female
- 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 | RPI016945 | PA | Primary |
Addresses
Primary practice location
255 Cumberland Pkwy
Mechanicsburg, PA 17055-5677
Mailing address
6940 Raccoon Valley Rd
Millerstown, PA 17062-8820
Phone (717) 275-6642
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPI016945 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite Aid of Pennsylvania LLC | Past | Accepting new patients | |
| Rite Aid of Pennsylvania LLC | Past | 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 and National Provider Directory roles.
-
dba Rite Aid Pharmacy 03804
- Community/Retail Pharmacy
- Newport, PA
- NPI 1134218894
-
- Community/Retail Pharmacy
- Clearfield, PA
- NPI 1508431081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764979200000",
"number": "1740013549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6940 RACCOON VALLEY RD",
"city": "MILLERSTOWN",
"state": "PA",
"postal_code": "170628820",
"telephone_number": "717-275-6642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 CUMBERLAND PKWY",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170555677",
"telephone_number": "717-597-0979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "KELBY",
"middle_name": "SUE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-26",
"last_updated": "2025-12-06",
"certification_date": "2025-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RPI016945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.