Active NPI
Kellie Busby, PHARMD, BCPP
- Pharmacist
- Chandler, AZ
National Provider Identifier
1902213101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S020576
- Practice address
- 1623 N Apache Dr
Chandler, AZ 85224-8620 - Phone
- (480) 477-4468
- NPI assigned
- Jul 20, 2014
- Last updated
- Aug 27, 2021
- 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 | S020576 | AZ | Primary |
| Psychiatric Pharmacist | 1835P1300X | S020576 | AZ |
Addresses
Primary practice location
1623 N Apache Dr
Chandler, AZ 85224-8620
Mailing address
1623 N Apache Dr
Chandler, AZ 85224-8620
Phone (480) 477-4468
Other practice location 1
6116 E Arbor Ave Ste 106
Mesa, AZ 85206-6103
Phone (480) 750-1635
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 |
|---|---|---|---|
| S020576 | AZ | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1902213101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1623 N APACHE DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852248620",
"telephone_number": "480-477-4468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1623 N APACHE DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852248620",
"telephone_number": "480-477-4468"
}
],
"practiceLocations": [
{
"address_1": "6116 E Arbor Ave Ste 106",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852066103",
"country_code": "US",
"telephone_number": "480-750-1635",
"fax_number": "623-444-3198",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUSBY",
"first_name": "KELLIE",
"name_prefix": "Dr.",
"credential": "PHARMD, BCPP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-20",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S020576",
"primary": true
},
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "AZ",
"license": "S020576",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.