DR. KELLY MAXWELL PHARMD
NPI 1083802565
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Poplar Bluff, MO

Active since October 09, 2007
1500 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901(573) 686-4151 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kelly Maxwell Pharmd NPPES

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

DR. KELLY MAXWELL PHARMD (NPI 1083802565) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Poplar Bluff, Missouri, licensed in Hawaii (PH-2009) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1083802565
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameDR. KELLY MAXWELLCredential: PHARMD
Location Address1500 N WESTWOOD BLVDPoplar Bluff, MO 63901-3318
Mailing Address1500 N Westwood BlvdPoplar Bluff, MO 63901-3318
Sole ProprietorNo
Enumeration DateOctober 9, 2007
Last NPPES UpdateOctober 30, 2019
NPI 1083802565 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 HI · PH-2009
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.

1500 N WESTWOOD BLVD, Poplar Bluff, MO 63901

Other Providers at the Same Location NPPES 20

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

Optometrist
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Psychiatry & Neurology (Psychiatry)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Psychiatry & Neurology (Psychiatry)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Registered Nurse
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Nurse Practitioner
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Respiratory Therapist, Registered
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Respiratory Therapist, Registered
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901
Social Worker (Clinical)
1500 N WESTWOOD BLVD
POPLAR BLUFF, MO 63901

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 Maxwell's NPI number?

The NPI number for Kelly Maxwell is 1083802565. It was assigned to this individual provider in the NPPES registry on October 9, 2007.

Where is Kelly Maxwell located?

Kelly Maxwell practices at 1500 N Westwood Blvd, Poplar Bluff, MO 63901. The listed phone number is (573) 686-4151.

What is Kelly Maxwell'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 Maxwell was last updated on October 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.