Active NPI
Erica Jenkins Kelly, PHARM.D.
- Pharmacist
- Cary, NC
National Provider Identifier
1821443557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24867
- Practice address
- 1273 NW Maynard Rd
Cary, NC 27513-8726 - Phone
- (919) 380-9933
- NPI assigned
- May 2, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0008564 | WV | |
| Pharmacist | 183500000X | 03232919 | OH | |
| Pharmacist | 183500000X | 0202213815 | VA | |
| Pharmacist | 183500000X | 24867 | NC | Primary |
Addresses
Primary practice location
1273 NW Maynard Rd
Cary, NC 27513-8726
Mailing address
103 Marbury CT Apt 2C
Cary, NC 27513-3239
Phone (304) 312-9878
Other practice location 1
103 Marbury Ct Apt 2C
Cary, NC 27513-3239
Phone (304) 312-9878
Other names 1
- Dr. Erica Lynn Jenkins
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 |
|---|---|---|---|
| 03232919 | OH | MD | Pharmacist |
| 0202213815 | VA | MD | Pharmacist |
| RP0008564 | WV | MD | Pharmacist |
| 24867 | NC | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1821443557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 MARBURY CT APT 2C",
"city": "CARY",
"state": "NC",
"postal_code": "275133239",
"telephone_number": "304-312-9878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1273 NW MAYNARD RD",
"city": "CARY",
"state": "NC",
"postal_code": "275138726",
"telephone_number": "919-380-9933"
}
],
"practiceLocations": [
{
"address_1": "103 Marbury Ct Apt 2C",
"address_purpose": "LOCATION",
"city": "Cary",
"state": "NC",
"postal_code": "275133239",
"country_code": "US",
"telephone_number": "304-312-9878",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLY",
"first_name": "ERICA",
"middle_name": "JENKINS",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0008564",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03232919",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202213815",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "24867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ERICA",
"last_name": "JENKINS",
"middle_name": "LYNN",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cary, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.