KELLY ODEGAARD PHARMD
NPI 1780201830
Pharmacist in Payson, AZ

Active since July 06, 2020
807 S PONDEROSA ST, PAYSON, AZ 85541(928) 471-1253 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Odegaard Pharmd NPPES

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

KELLY ODEGAARD PHARMD (NPI 1780201830) is an individual pharmacist in Payson, Arizona, licensed in Arizona (S025040) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1780201830
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKELLY ODEGAARDCredential: PHARMD
Location Address807 S PONDEROSA STPayson, AZ 85541-5542
Mailing Address807 S Ponderosa StPayson, AZ 85541-5542 · (928) 471-1253
Sole ProprietorNo
Enumeration DateJuly 6, 2020
Last NPPES UpdateJuly 16, 2025
NPPES CertifiedJuly 16, 2025
NPI 1780201830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in AZ · S025040
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.
807 S PONDEROSA ST, Payson, AZ 85541

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.

Internal Medicine
807 S PONDEROSA ST
PAYSON, AZ 85541
Obstetrics & Gynecology
807 S PONDEROSA ST
PAYSON, AZ 85541
Emergency Medicine
807 S PONDEROSA ST
PAYSON, AZ 85541
General Acute Care Hospital
807 S PONDEROSA ST
PAYSON, AZ 85541
General Acute Care Hospital (Critical Access)
807 S PONDEROSA ST
PAYSON, AZ 85541
Nurse Anesthetist, Certified Registered
807 S PONDEROSA ST
PAYSON, AZ 85541
Medicare Defined Swing Bed Unit
807 S PONDEROSA ST
PAYSON, AZ 85541
Nurse Anesthetist, Certified Registered
807 S PONDEROSA ST
PAYSON, AZ 85541

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 Odegaard's NPI number?

The NPI number for Kelly Odegaard is 1780201830. It was assigned to this individual provider in the NPPES registry on July 6, 2020.

Where is Kelly Odegaard located?

Kelly Odegaard practices at 807 S Ponderosa St, Payson, AZ 85541. The listed phone number is (928) 471-1253.

What is Kelly Odegaard'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 Odegaard was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.