ELIZABETH KELLY PHARMD
NPI 1699119792
Pharmacist in Clearlake, CA

Active since April 19, 2013
15025 OLYMPIC DR, CLEARLAKE, CA 95422(707) 994-8677 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elizabeth Kelly Pharmd NPPES

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

ELIZABETH KELLY PHARMD (NPI 1699119792) is an individual pharmacist in Clearlake, California, licensed in California (68656) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1699119792
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameELIZABETH KELLYCredential: PHARMD
Location Address15025 OLYMPIC DRClearlake, CA 95422-9526
Mailing Address401 Bicentennial WaySanta Rosa, CA 95403-2149 · (707) 393-3003
Sole ProprietorNo
Enumeration DateApril 19, 2013
Last NPPES UpdateJanuary 3, 2022
NPPES CertifiedJanuary 3, 2022
NPI 1699119792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 68656
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.
15025 OLYMPIC DR, Clearlake, CA 95422

Other Providers at the Same Location NPPES 4

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

Pharmacist
15025 OLYMPIC DR
CLEARLAKE, CA 95422
Pharmacist
15025 OLYMPIC DR
CLEARLAKE, CA 95422
Pharmacist
15025 OLYMPIC DR
CLEARLAKE, CA 95422
Pharmacist
15025 OLYMPIC DR
CLEARLAKE, CA 95422

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 Elizabeth Kelly's NPI number?

The NPI number for Elizabeth Kelly is 1699119792. It was assigned to this individual provider in the NPPES registry on April 19, 2013.

Where is Elizabeth Kelly located?

Elizabeth Kelly practices at 15025 Olympic Dr, Clearlake, CA 95422. The listed phone number is (707) 994-8677.

What is Elizabeth 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 Elizabeth Kelly was last updated on January 3, 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.