DR. KELLY S PAK PHARMD
NPI 1124383120
Pharmacist in Winslow, AZ

Active since July 06, 2012
500 INDIANA AVE, WINSLOW, AZ 86047(928) 289-4646 Get Directions Write a Review

NPPES record last updated: September 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelly S Pak Pharmd NPPES

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

DR. KELLY S PAK PHARMD (NPI 1124383120) is an individual pharmacist in Winslow, Arizona, licensed in Florida (PS46501) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1124383120
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. KELLY S PAKCredential: PHARMD
Location Address500 INDIANA AVEWinslow, AZ 86047-2169
Mailing Address1878 W University Heights Dr SFlagstaff, AZ 86005-9130
Sole ProprietorNo
Enumeration DateJuly 6, 2012
Last NPPES UpdateSeptember 23, 2013
NPI 1124383120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in FL · PS46501
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
500 INDIANA AVE, Winslow, AZ 86047

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.

Pharmacist (Pharmacotherapy)
500 INDIANA AVE
WINSLOW, AZ 86047
Optometrist
500 INDIANA AVE
WINSLOW, AZ 86047
Registered Nurse
500 INDIANA AVE
WINSLOW, AZ 86047
Registered Nurse
500 INDIANA AVE
WINSLOW, AZ 86047
Registered Nurse (Ambulatory Care)
500 INDIANA AVE
WINSLOW, AZ 86047
Family Medicine
500 INDIANA AVE
WINSLOW, AZ 86047
Pharmacist
500 INDIANA AVE
WINSLOW, AZ 86047
Family Medicine
500 INDIANA AVE
WINSLOW, AZ 86047

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 Pak's NPI number?

The NPI number for Kelly Pak is 1124383120. It was assigned to this individual provider in the NPPES registry on July 6, 2012.

Where is Kelly Pak located?

Kelly Pak practices at 500 Indiana Ave, Winslow, AZ 86047. The listed phone number is (928) 289-4646.

What is Kelly Pak's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Kelly Pak was last updated on September 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.