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MRS. JACQULYN MYRA KELLY RPH
NPI 1992086045
Pharmacist in Boise, ID

Active since September 02, 2011
2504 E BERGESON ST, BOISE, ID 83706(208) 343-3831 Get Directions Write a Review

NPPES record last updated: September 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jacqulyn Myra Kelly Rph NPPES

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

MRS. JACQULYN MYRA KELLY RPH (NPI 1992086045) is an individual pharmacist in Boise, Idaho, licensed in Idaho (P5381) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1992086045
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameMRS. JACQULYN MYRA KELLYCredential: RPH
Location Address2504 E BERGESON STBoise, ID 83706-6014
Mailing Address2504 E Bergeson StBoise, ID 83706-6014 · (208) 343-3831
Phone(208) 343-3831
Sole ProprietorYes
Enumeration DateSeptember 2, 2011
✔ NPI 1992086045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in ID · P5381
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.
2504 E BERGESON ST, Boise, ID 83706
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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 Jacqulyn Kelly's NPI number?

The NPI number for Jacqulyn Kelly is 1992086045. It was assigned to this individual provider in the NPPES registry on September 2, 2011.

Where is Jacqulyn Kelly located?

Jacqulyn Kelly practices at 2504 E Bergeson St, Boise, ID 83706. The listed phone number is (208) 343-3831.

What is Jacqulyn 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 Jacqulyn Kelly was last updated on September 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.