Active NPI
Marlena Kelley, PHARMD
- Pharmacist
- Daphne, AL
National Provider Identifier
1760506216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH022618
- Practice address
- 27955 US Highway 98
Daphne, AL 36526-4735 - Phone
- (251) 626-1349
- NPI assigned
- Mar 19, 2007
- Last updated
- Jan 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | RPH022618 | GA | Primary |
Addresses
Primary practice location
27955 US Highway 98
Daphne, AL 36526-4735
Mailing address
27955 US Highway 98
Daphne, AL 36526-4735
Phone (251) 626-1349
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15642 | Other | AL | STATE LICENSE |
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 |
|---|---|---|---|
| RPH022618 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358812800000",
"number": "1760506216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27955 US HIGHWAY 98",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365264735",
"telephone_number": "251-626-1349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27955 US HIGHWAY 98",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365264735",
"telephone_number": "251-626-1349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLEY",
"first_name": "MARLENA",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2013-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH022618",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "15642",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.