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DR. KELLY ALYSE DEBERRY PHARM.D.
NPI 1356691372
Pharmacist in Fort Oglethorpe, GA

Active since September 17, 2012
1155 BATTLEFIELD PKWY, FORT OGLETHORPE, GA 30742(762) 887-6046 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelly Alyse Deberry Pharm.d. NPPES

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

DR. KELLY ALYSE DEBERRY PHARM.D. (NPI 1356691372) is an individual pharmacist in Fort Oglethorpe, Georgia, licensed in Georgia (RPH026877) and active in the NPI registry since September 2012. She maintains a secondary practice location in Dalton.

NPPES Registry Identity

NPI1356691372
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. KELLY ALYSE DEBERRYCredential: PHARM.D.
Location Address1155 BATTLEFIELD PKWYFort Oglethorpe, GA 30742-3960
Mailing Address8779 Mckenzie Farm DrOoltewah, TN 37363-5990 · (256) 679-2018
Phone(762) 887-6046
Sole ProprietorNo
Enumeration DateSeptember 17, 2012
Last NPPES UpdateMay 13, 2022
NPPES CertifiedMay 13, 2022
✔ NPI 1356691372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in GA · RPH026877
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.
1155 BATTLEFIELD PKWY, Fort Oglethorpe, GA 30742
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Other Names 1

Former Name (1)Dr. Kelly Alyse Haynes Pharm.d.

Secondary Practice Location 1

Location 198 W Walnut AveDalton, GA 30720-8477 · Phone (762) 209-5010

Other Providers at the Same Location NPPES 3

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

JULIA HART MANNING RPH
Pharmacist
1155 BATTLEFIELD PKWY
FORT OGLETHORPE, GA 30742
Catoosa County (762) 887-6046
THOMAS B. MUDD PHARMD.
Pharmacist
1155 BATTLEFIELD PKWY
FORT OGLETHORPE, GA 30742
Catoosa County (762) 887-6046
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
1155 BATTLEFIELD PKWY
FORT OGLETHORPE, GA 30742
Catoosa County (762) 887-6046

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 Deberry's NPI number?

The NPI number for Kelly Deberry is 1356691372. It was assigned to this individual provider in the NPPES registry on September 17, 2012. The provider is also known as Dr. Kelly Alyse Haynes Pharm.D..

Where is Kelly Deberry located?

Kelly Deberry practices at 1155 Battlefield Pkwy, Fort Oglethorpe, GA 30742. The listed phone number is (762) 887-6046.

What is Kelly Deberry'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 Deberry was last updated on May 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.