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Active NPI 1255618559 Individual Practitioner Male Practitioner

Dr. Matthew K Kelly , PharmD

Pharmacist • Bloomington, MN

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Kelly, PharmD is a registered healthcare professional specializing in Pharmacist in Bloomington, MN. Practice services are available at 8421 LYNDALE AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8421 Lyndale Ave S

Bloomington, MN 554204580

Telephone 9523468625
Fax 9529480686
Associated Practice Facility / Clinic
🏢 Supervalu Pharmacies Inc Facility NPI 1477668515

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Bloomington, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
92 Specialists

Practicing in Bloomington, MN (4994 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-11
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MN 119746

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1518203736

RPHPHARMACIST

NPI 1649875840

Registered Pharmacist

NPI 1922219245

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location November 11, 2025

Registered at 8421 LYNDALE AVE S, BLOOMINGTON, MN 554204580 (Tel: 9523468625)

NPI Profile Active November 15, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2011

Registered at 3800 LEXINGTON AVE N, T0619, SHOREVIEW, MN 551262916 (Tel: 6514860649)

📍
Updated Business Mailing Address November 15, 2011

Registered at 3800 LEXINGTON AVE N, T0619, SHOREVIEW, MN 551262916

👤
Provider Name / Credentials Updated November 15, 2011

Recorded as MATTHEW KELLY, PHARM. D,

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2011

Pharmacist (License #119746 in MN)

🟢
Initial NPI Registration & Enumeration November 15, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255618559
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 15, 2011
Last Update: November 11, 2025
Sole Proprietor: Yes

Mailing Address

3800 Lexington Ave N, T0619

Shoreview, MN 551262916

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.