KELLY TODD WALDRIP
NPI 1619508322
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Horn Lake, MS

Q: What is Kelly Waldrip's NPI number?

The NPI number for Kelly Waldrip is 1619508322. It was assigned to this individual provider in the NPPES registry on January 31, 2020.

Q: What is Kelly Waldrip's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Waldrip was last updated on January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 31, 2020

3926 GOODMAN RD W, HORN LAKE, MS 38637(662) 393-7868(662) 393-1076 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Todd Waldrip NPPES

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

KELLY TODD WALDRIP (NPI 1619508322) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Horn Lake, Mississippi, licensed in Mississippi (E-08238) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1619508322

Entity TypeIndividualMale

Primary Taxonomy1835P0018X

Provider Legal NameKELLY TODD WALDRIP

Location Address3926 GOODMAN RD WHorn Lake, MS 38637-1324

Mailing Address3926 Goodman Rd WHorn Lake, MS 38637-1324 · (662) 393-7868 · Fax (662) 393-1076

Phone(662) 393-7868

Fax(662) 393-1076

Sole ProprietorYes

Enumeration DateJanuary 31, 2020

✔ NPI 1619508322 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 MS · E-08238

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.

3926 GOODMAN RD W, Horn Lake, MS 38637

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Other Providers at the Same Location NPPES 2

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

KROGER LIMITED PARTNERSHIP I

Pharmacy (Community/Retail Pharmacy)

3926 GOODMAN RD W
HORN LAKE, MS 38637

Desoto County (662) 393-7868

ETHAN STOBAUGH

Pharmacist

3926 GOODMAN RD W
HORN LAKE, MS 38637

Desoto County (662) 393-7868

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 Waldrip's NPI number?

The NPI number for Kelly Waldrip is 1619508322. It was assigned to this individual provider in the NPPES registry on January 31, 2020.

Where is Kelly Waldrip located?

Kelly Waldrip practices at 3926 Goodman Rd W, Horn Lake, MS 38637. The listed phone number is (662) 393-7868.

What is Kelly Waldrip'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 Waldrip was last updated on January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.