Quinn Patrick Kelly

Primary specialty

PharmacistTaxonomy code 183500000X

License

064145 Issued in NY

Practice address

4852 State Route 81
Greenville, NY 12083-7701

Phone

(518) 966-4800

NPI assigned

Jul 13, 2018

Last updated

Nov 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• James R Obrien Inc

  dba Obriens Pharmacy

  • Community/Retail Pharmacy
  • Ballston Spa, NY
  • NPI 1154457505
  Authorized official Same address or phone
• Kelly's Pharmacy Inc.

  • Community/Retail Pharmacy
  • Delmar, NY
  • NPI 1073387957
  NPD (past) Authorized official
• Kelly's Pharmacy Inc.

  • Community/Retail Pharmacy
  • Greenville, NY
  • NPI 1891063012
  NPD (past)

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1952887895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4852 STATE ROUTE 81",
            "city": "GREENVILLE",
            "state": "NY",
            "postal_code": "120837701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4852 STATE ROUTE 81",
            "city": "GREENVILLE",
            "state": "NY",
            "postal_code": "120837701",
            "telephone_number": "518-966-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "QUINN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-13",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "064145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter W. Hubicki II, M.D.
• Debbie Huston, COTA
• Jennifer E Jones, CCC-SLP
• Thomas Allen Kearney, CRPA-P
• Martin Frederick Kelly
• Rebecca Ann Kelly
• Kelly's Pharmacy Inc.
• Amanda Kistinger, LCSW
• Brooke Latart, LMSW
• Geoffrey P Little, PA-C

• Pharmacist in Greenville, NY
• Providers in Greenville, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.