Joseph Kellogg, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

S010169 Issued in AZ

Practice address

4840 W Desert Inn Rd
Las Vegas, NV 89102-9125

Phone

(702) 248-1854

Fax

(702) 248-7042

NPI assigned

Dec 28, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Smith'S Food & Drug Centers Inc

  • Community/Retail Pharmacy
  • Henderson, NV
  • NPI 1881585248
  NPD (past)
• Smiths Food & Drug Centers Inc

  • Community/Retail Pharmacy
  • Las Vegas, NV
  • NPI 1568487189
  NPD (past)

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451260800000",
    "number": "1942665401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 W DESERT INN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891029125",
            "telephone_number": "702-248-1854",
            "fax_number": "702-248-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 W DESERT INN RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891029125",
            "telephone_number": "702-248-1854",
            "fax_number": "702-248-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLOGG",
        "first_name": "JOSEPH",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-28",
        "last_updated": "2015-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S010169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Kelley
• Sara Kelley
• Senterio Kelley
• Victoria Marie Kelley
• Wanyun Kelley
• Lori Lynn Kellogg, MD
• Mackenzie Kellogg
• Raymond Vincent Kellogg, O.D.
• Ashley Kellough
• Kelly Jin, D.M.D., Inc.

• Pharmacist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pharmacist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.