Kelly Marie Hotaling, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

NE14372 Issued in NE

Practice address

11650 S 73Rd St
Papillion, NE 68046-1500

Phone

(402) 597-5056

NPI assigned

Apr 17, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1770146482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10359 S 125TH ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680464361",
            "telephone_number": "308-325-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 S 73RD ST",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680461500",
            "telephone_number": "402-597-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOTALING",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "NE14372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "NE14372",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "612165",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Ann Hopson
• Guy Hord
• Bobbie Jo Horn
• Leslie R Horton, APRN
• Leah Marie Hostetler
• Zach Houfek, PHARM D
• Terence Hough
• House Enterprises Inc
• Angela Renae Houston
• Peggy A Houston, LMHP

• Pharmacist in Papillion, NE
• Providers in Papillion, NE by specialty
• Pharmacist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.