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KELLY E ANDERSON PHARM D
NPI 1083077564
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Crystal Lake, IL

Active since April 01, 2016
105 NORTHWEST HWY, CRYSTAL LAKE, IL 60014(815) 261-4733 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2026, Apr 1, 2016 (2 updates tracked since 2016).

About Kelly E Anderson Pharm D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY E ANDERSON PHARM D (NPI 1083077564) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Crystal Lake, Illinois, licensed in Illinois (051.299226) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1083077564
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameKELLY E ANDERSONCredential: PHARM D
Location Address105 NORTHWEST HWYCrystal Lake, IL 60014-7951
Mailing Address105 Northwest HwyCrystal Lake, IL 60014-7951 · (815) 261-4733
Phone(815) 261-4733
Sole ProprietorNo
Enumeration DateApril 1, 2016
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1083077564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in IL · 051.299226
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
105 NORTHWEST HWY, Crystal Lake, IL 60014
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

1918 WINTER STREET OPERATING CO LLC
Pharmacy (Community/Retail Pharmacy)
105 NORTHWEST HWY
CRYSTAL LAKE, IL 60014
McHenry County (815) 261-4733
ROUNDY'S SUPERMARKETS INC
Pharmacy (Community/Retail Pharmacy)
105 NORTHWEST HWY
CRYSTAL LAKE, IL 60014
McHenry County (815) 261-4733
LUXOTTICA RETAIL NORTH AMERICA INC
Eyewear Supplier
105 NORTHWEST HWY
CRYSTAL LAKE, IL 60014
McHenry County (815) 788-1315
MRS. TANYA UDCHIK RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
105 NORTHWEST HWY
CRYSTAL LAKE, IL 60014
McHenry County (815) 261-4733

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Anderson's NPI number?

The NPI number for Kelly Anderson is 1083077564. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Kelly Anderson located?

Kelly Anderson practices at 105 Northwest Hwy, Crystal Lake, IL 60014. The listed phone number is (815) 261-4733.

What is Kelly Anderson's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Kelly Anderson was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.