Gene M. Kelly, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS0031668 Issued in FL

Practice address

4943 Le Chalet Blvd.
Walgreens #04954
Boynton Beach, FL 33436-1405

Phone

(561) 752-0314

Fax

(561) 752-0318

NPI assigned

Oct 10, 2011

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

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1962786848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4463 HUNTING TRL",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334673532",
            "telephone_number": "561-965-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4943 LE CHALET BLVD.",
            "address_2": "WALGREENS #04954",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334361405",
            "telephone_number": "561-752-0314",
            "fax_number": "561-752-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "GENE",
        "middle_name": "M.",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS0031668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheri Keehn, AGPCNP-BC
• John Stuart Keeth, DC
• Timothy M. Kehrig, DC
• Fernando A Keller
• Brittany Kelly
• Gianna Kelly
• Melanie Kelly
• Jennifer Alexander Kendricks, PA-C
• John Francis Kennedy, MOT, OTR/L
• Kenneth Allen Kasten MD PA

• Pharmacist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.