DR. KELLY ALANE DECLERK PHARMD
NPI 1417446154
Pharmacist in Jackson, MO

Active since May 08, 2018
3051 E JACKSON BLVD, JACKSON, MO 63755(573) 204-7360 Get Directions Write a Review

NPPES record last updated: May 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kelly Alane Declerk Pharmd NPPES

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

DR. KELLY ALANE DECLERK PHARMD (NPI 1417446154) is an individual pharmacist in Jackson, Missouri, licensed in Missouri (2009036310) and active in the NPI registry since May 2018. She maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1417446154
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. KELLY ALANE DECLERKCredential: PHARMD
Location Address3051 E JACKSON BLVDJackson, MO 63755-2910
Mailing Address3051 E Jackson BlvdJackson, MO 63755-2910 · (573) 204-7360
Sole ProprietorNo
Enumeration DateMay 8, 2018
NPI 1417446154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MO · 2009036310
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.
3051 E JACKSON BLVD, Jackson, MO 63755

Secondary Practice Location 1

Location 13051 E Jackson BlvdJackson, MO 63755-2910 · Phone (573) 204-7360

Other Providers at the Same Location NPPES 6

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

Pharmacist
3051 E JACKSON BLVD
JACKSON, MO 63755
Pharmacy (Community/Retail Pharmacy)
3051 E JACKSON BLVD
JACKSON, MO 63755
Pharmacist
3051 E JACKSON BLVD
JACKSON, MO 63755
Pharmacist
3051 E JACKSON BLVD
JACKSON, MO 63755
Eyewear Supplier
3051 E JACKSON BLVD
JACKSON, MO 63755
Optometrist
3051 E JACKSON BLVD
JACKSON, MO 63755

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 Declerk's NPI number?

The NPI number for Kelly Declerk is 1417446154. It was assigned to this individual provider in the NPPES registry on May 8, 2018.

Where is Kelly Declerk located?

Kelly Declerk practices at 3051 E Jackson Blvd, Jackson, MO 63755. The listed phone number is (573) 204-7360.

What is Kelly Declerk'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 Declerk was last updated on May 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.