Individual provider Active NPI

Collin Kelley, PHARMD

  • Pharmacist
  • Plano, TX
National Provider Identifier
1821687963
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
59833 Issued in TX
Practice address
8277 Belleview Dr
Plano, TX 75024-0358
Phone
(214) 291-5087
NPI assigned
Jan 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 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 59833 TX Primary

Addresses

Primary practice location

8277 Belleview Dr
Plano, TX 75024-0358

Mailing address

5425 W Spring Creek Pkwy Ste 190
Plano, TX 75024-4341
Phone (214) 291-5087

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

LicenseStateTypeSpecialty
59833TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Stellus RX, LLC CurrentSince Jan 17, 2021 Accepting new patients

Locations

8277 Belleview Dr
Plano, TX 75024
Phone (214) 291-5087

5425 W Spring Creek Pkwy
Ste 190
Plano, TX 75024
Phone (214) 291-5087

Organizations & group practices 1

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": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1821687963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY STE 190",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244341",
            "telephone_number": "214-291-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8277 BELLEVIEW DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750240358",
            "telephone_number": "214-291-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "COLLIN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "59833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.