Active NPIIndividual providerSole proprietor

Dalissa R Kelly, PHARMD

Pharmacist in Hanover, Massachusetts

NPI Number1942577242
Practice location
1167 Washington St., T-2532, Hanover, MA 02339
Fax
781-499-1972
Last updated
November 30, 2011

Dalissa Rubi Kelly is a Pharmacist based in Hanover, MA. Dalissa Rubi Kelly practices in Hanover, MA and has the professional credentials of PHARMD. The NPI Number for Dalissa Rubi Kelly is 1942577242 and holds a License No. PH27690 (MA). The current practice location address for Dalissa Rubi Kelly is 1167 Washington St., T-2532, Hanover, MA 02339 and can be reached out via phone at 781-499-1962 and via fax at 781-499-1972.

Provider Profile Details

NPI Number
1942577242
Provider Name
Dalissa Rubi Kelly
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
1167 Washington St., T-2532, Hanover, MA 02339
Phone Number
781-499-1962
Fax Number
781-499-1972
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
November 30, 2011
Last Update Date
November 30, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
1167 Washington St.
T-2532
Hanover, MA 02339
Zip
02339
Phone Number
781-499-1962
Fax Number
781-499-1972
Hanover, MA 02339Get directions →

Provider Business Mailing Address Details

Address
1167 Washington St.
T-2532
Hanover, MA 02339
City
Hanover
State
MA
Zip
02339

License Information

License Number
PH27690
License State
MA
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dalissa R Kelly, PHARMD?

The NPI number of Dalissa R Kelly, PHARMD is 1942577242. It was assigned on November 30, 2011 and is currently active in the NPPES registry.

What is the specialty of Dalissa R Kelly, PHARMD?

Dalissa R Kelly, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in MA under license number PH27690.

Where does Dalissa R Kelly, PHARMD practice?

The practice location is 1167 Washington St., T-2532, Hanover, MA 02339. The office can be reached at 781-499-1962 (phone) or 781-499-1972 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942577242 directly on the NPPES registry website.

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