Active NPI
Kellsey Maria Bishop, PHARMD
- Pharmacist
- Palm Beach Gardens, FL
National Provider Identifier
1962911966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS56611
- Practice address
- 68 Via del Corso
Palm Beach Gardens, FL 33418-3772 - Phone
- (561) 319-7739
- NPI assigned
- Sep 22, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 19986 | AL | |
| Pharmacist | 183500000X | PS56611 | FL | Primary |
Addresses
Primary practice location
68 Via del Corso
Palm Beach Gardens, FL 33418-3772
Mailing address
411 Danube Ave Apt A11
Tampa, FL 33606-3753
Phone (561) 319-7739
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 |
|---|---|---|---|
| 19986 | AL | MD | Pharmacist |
| PS56611 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506038400000",
"number": "1962911966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 DANUBE AVE APT A11",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063753",
"telephone_number": "561-319-7739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 VIA DEL CORSO",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334183772",
"telephone_number": "561-319-7739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "KELLSEY",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-22",
"last_updated": "2017-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "19986",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS56611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.