Kelsey D Henry, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

23735 Issued in NC

Practice address

228 Shamrock LN
Ronceverte, WV 24970-8380

Phone

(304) 497-3900

Fax

(304) 645-0156

NPI assigned

Aug 15, 2013

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

Other names 1

• Kelsey D Pursley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545868800000",
    "number": "1760815591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 CLOVER CIR",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249012250",
            "telephone_number": "304-532-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 SHAMROCK LN",
            "city": "RONCEVERTE",
            "state": "WV",
            "postal_code": "249708380",
            "telephone_number": "304-497-3900",
            "fax_number": "304-645-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "KELSEY",
        "middle_name": "D",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2018-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NC",
            "license": "23735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "PURSLEY",
            "middle_name": "D",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Tanya Hazelwood, LMT
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• Summer Marie Hepler, APRN-CNM
• Kara L. Hersman, SLP
• Elizabeth Lee-Anne Hobbs, AGACNP-BC
• Stephanie Lynn Holley, LMT
• Amanda Lynn Holliday

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Ronceverte, WV
• Providers in Ronceverte, WV by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.