Individual provider Active NPI

Michelle Lee Kelly

  • Pharmacist
  • Chillicothe, OH
National Provider Identifier
1811585649
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03221218 Issued in OH
Practice address
215 Old Eastern Ave
Chillicothe, OH 45601-3462
Phone
(740) 772-5180
Fax
(740) 772-5483
NPI assigned
Jan 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03221218 OH Primary

Addresses

Primary practice location

215 Old Eastern Ave
Chillicothe, OH 45601-3462

Mailing address

215 Old Eastern Ave
Chillicothe, OH 45601-3462
Phone (740) 772-5180

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

LicenseStateTypeSpecialty
03221218OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Allen'S Medical Pharmacy, Inc. CurrentSince Apr 9, 2023 Accepting new patients
Allen'S Medical Pharmacy, Inc. CurrentSince Oct 22, 2023 Accepting new patients

Locations

215 Old Eastern Ave
Chillicothe, OH 45601
Phone (740) 772-5180

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.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1811585649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 OLD EASTERN AVE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013462",
            "telephone_number": "740-772-5180",
            "fax_number": "740-772-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 OLD EASTERN AVE",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456013462",
            "telephone_number": "740-772-5180",
            "fax_number": "740-772-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03221218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.