David Andrew Kelley I, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

044431 Issued in MO

Practice address

5816 Osage Beach Pkwy Ste 104
Osage Beach, MO 65065-3046

Phone

(573) 348-2721

NPI assigned

Oct 8, 2020

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.

• Hy-Vee Inc

  • Community/Retail Pharmacy
  • Osage Beach, MO
  • NPI 1598706921
  NPD (past)
• Hy-Vee Inc

  • Community/Retail Pharmacy
  • Wausau, WI
  • NPI 1396619839
  NPD (past)

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1992302277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 OLD GLORY RD",
            "city": "MONTREAL",
            "state": "MO",
            "postal_code": "655918134",
            "telephone_number": "573-286-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5816 OSAGE BEACH PKWY STE 104",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653046",
            "telephone_number": "573-348-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "DAVID",
        "middle_name": "ANDREW",
        "name_suffix": "I",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "044431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Kauffman
• Katy L Kautz, D.C.
• Katherine Monica Keeler, WHNP
• Michelle Therese Keeton
• Deborah Lynn Keith, RPH, CGP
• Dennis Lee Kempf Jr., MS, CEP, EP, EIM
• Elizabeth Kermis, D.O.
• Zubair A Khan, MD
• Kids' Harbor, Inc.
• David Kilpatrick I, PTA

• Pharmacist in Osage Beach, MO
• Providers in Osage Beach, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.