MRS. KELLY LYNN COLLORA RPH
NPI 1669958625
Pharmacist in Bridgeton, MO

Active since July 12, 2018
12921 ENTERPRISE WAY, BRIDGETON, MO 63044(314) 344-9200 Get Directions Write a Review

NPPES record last updated: July 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelly Lynn Collora Rph NPPES

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

MRS. KELLY LYNN COLLORA RPH (NPI 1669958625) is an individual pharmacist in Bridgeton, Missouri, licensed in Missouri (2003027106) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1669958625
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMRS. KELLY LYNN COLLORACredential: RPH
Location Address12921 ENTERPRISE WAYBridgeton, MO 63044-1206
Mailing Address12921 Enterprise WayBridgeton, MO 63044-1206 · (314) 344-9200
Sole ProprietorNo
Enumeration DateJuly 12, 2018
NPI 1669958625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MO · 2003027106
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.
12921 ENTERPRISE WAY, Bridgeton, MO 63044

Other Names 1

Former Name (1)Kelly Ertmann

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
12921 ENTERPRISE WAY
BRIDGETON, MO 63044
Pharmacist
12921 ENTERPRISE WAY
BRIDGETON, MO 63044
Pharmacist
12921 ENTERPRISE WAY
BRIDGETON, MO 63044
Pharmacist
12921 ENTERPRISE WAY
BRIDGETON, MO 63044
Pharmacist
12921 ENTERPRISE WAY
BRIDGETON, MO 63044
Pharmacist
12921 ENTERPRISE WAY
BRIDGETON, MO 63044
Pharmacist
12921 ENTERPRISE WAY
BRIDGETON, MO 63044
Pharmacist
12921 ENTERPRISE WAY
BRIDGETON, MO 63044

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 Collora's NPI number?

The NPI number for Kelly Collora is 1669958625. It was assigned to this individual provider in the NPPES registry on July 12, 2018. The provider is also known as Kelly Ertmann.

Where is Kelly Collora located?

Kelly Collora practices at 12921 Enterprise Way, Bridgeton, MO 63044. The listed phone number is (314) 344-9200.

What is Kelly Collora'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 Collora was last updated on July 12, 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.