Keli D Dailey, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

2011004179 Issued in MO

Practice address

412 Pawnee St
Clinton, MO 64735-2481

Phone

(660) 885-4020

Fax

(660) 885-4095

NPI assigned

Sep 19, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Clinton, MO
  • NPI 1619982642
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1922380690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 PAWNEE ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352481",
            "telephone_number": "660-885-4020",
            "fax_number": "660-885-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 PAWNEE ST",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647352481",
            "telephone_number": "660-885-4020",
            "fax_number": "660-885-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAILEY",
        "first_name": "KELI",
        "middle_name": "D",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2011004179",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD11393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Crawford, RBT
• Brandon Vincent Crispi, PMHNP-BC
• Jessica Renee Crook, COTA
• Breanne Leigh Cummings
• Mary Sylvia Cunningham, FNP
• Lily Dake, OTA
• Kealee Daragona, RBT
• Matthew Darrow, DDS
• Cynthia Davidson, R.N.
• Larry V Davison, R. PH.

• All providers in Clinton, MO
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.