1. Home
  2. Directory
  3. Tennessee
  4. Blaine
  5. Pharmacist
  6. NPI Profile

DR. SHANNON KELLY PHARM.D.
NPI 1578991790
Pharmacist in Blaine, TN

Active since October 25, 2013
2792 LEA LAKE RD, BLAINE, TN 37709(865) 661-5752 Get Directions Write a Review

NPPES record last updated: October 25, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Shannon Kelly Pharm.d. NPPES

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

DR. SHANNON KELLY PHARM.D. (NPI 1578991790) is an individual pharmacist in Blaine, Tennessee, licensed in Tennessee (6823) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1578991790
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. SHANNON KELLYCredential: PHARM.D.
Location Address2792 LEA LAKE RDBlaine, TN 37709-5214
Mailing Address2792 Lea Lake RdBlaine, TN 37709-5214 · (865) 661-5752
Phone(865) 661-5752
Sole ProprietorYes
Enumeration DateOctober 25, 2013
✔ NPI 1578991790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in TN · 6823
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.
2792 LEA LAKE RD, Blaine, TN 37709
Open in Google Maps ↗

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 Shannon Kelly's NPI number?

The NPI number for Shannon Kelly is 1578991790. It was assigned to this individual provider in the NPPES registry on October 25, 2013.

Where is Shannon Kelly located?

Shannon Kelly practices at 2792 Lea Lake Rd, Blaine, TN 37709. The listed phone number is (865) 661-5752.

What is Shannon Kelly'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 Shannon Kelly was last updated on October 25, 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.