Active NPI
Kathleen Kelly, RPH
- Pharmacist
- Easton, PA
National Provider Identifier
1992154629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP034725L
- Practice address
- 2045 Fairview Ave
Easton, PA 18042-3915 - Phone
- (610) 258-2311
- NPI assigned
- Jun 3, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP034725L | PA | Primary |
Addresses
Primary practice location
2045 Fairview Ave
Easton, PA 18042-3915
Mailing address
3761 Knollcroft St
Easton, PA 18045-3026
Phone (610) 559-1826
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP034725L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakeem Inc | Pharmacist | Current | Accepting new patients |
| Wakeem Inc | Current | Accepting new patients |
Locations
2045 Fairview Ave
Easton, PA 18042
Phone (610) 258-2311
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Easton, PA
- NPI 1457319469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464912000000",
"number": "1992154629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3761 KNOLLCROFT ST",
"city": "EASTON",
"state": "PA",
"postal_code": "180453026",
"telephone_number": "610-559-1826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 FAIRVIEW AVE",
"city": "EASTON",
"state": "PA",
"postal_code": "180423915",
"telephone_number": "610-258-2311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "KATHLEEN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-03",
"last_updated": "2016-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP034725L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Easton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.