Active NPI
Kelly Brophy Seidel, RPH
- Pharmacist
- Wake Forest, NC
National Provider Identifier
1821705146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16765
- Practice address
- 13686 Capital Blvd
Wake Forest, NC 27587-6607 - Phone
- (919) 554-3226
- Fax
- (919) 554-3809
- NPI assigned
- Nov 7, 2022
- Last updated
- Nov 7, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP042264L | PA | |
| Pharmacist | 183500000X | 16765 | NC | Primary |
Addresses
Primary practice location
13686 Capital Blvd
Wake Forest, NC 27587-6607
Mailing address
1136 Blykeford LN
Wake Forest, NC 27587-8037
Phone (919) 889-2353
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16765 | NC | MD | Pharmacist |
| RP042264L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris Teeter LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1821705146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 BLYKEFORD LN",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275878037",
"telephone_number": "919-889-2353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13686 CAPITAL BLVD",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275876607",
"telephone_number": "919-554-3226",
"fax_number": "919-554-3809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIDEL",
"first_name": "KELLY",
"middle_name": "BROPHY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-07",
"last_updated": "2022-11-07",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP042264L",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "16765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wake Forest, NC
- Kimberly Antoine Scott, LCSW
- Second Time Around Homecare
- Blair Brenna Seelinger, M ED., LPCA, LMFTA
- Katherine Eileen Sega
- Eric Seidel, RPH
- Miriam Selph, M.A., PSY.D.
- Senior2Senior, LLC (Seniors Helping Seniors Raleigh)
- Serenity & Grace Therapeutic Services
- Olutosin Olarinde Seriki, DDS
- Greylan Brooke Sessoms, LCMHCA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.