Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013669209 Individual Practitioner Female Practitioner

Dr. Kaitlin Kelly , PharmD

Pharmacist • Nutley, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Kaitlin Kelly, PharmD is a registered healthcare professional specializing in Pharmacist in Nutley, NJ. Practice services are available at 217 HARRISON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

217 Harrison St

Nutley, NJ 071102637

Telephone 9736675773
Associated Practice Facility / Clinic
🏢 New Jersey Cvs Pharmacy Llc Facility NPI 1093807711

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Nutley, NJ

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

Practicing in Nutley, NJ (8390 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: 2022-01-19
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NJ 28RI03970000

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID 0803
0803

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1124597067

Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 19, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 19, 2022

Registered at 217 HARRISON ST, NUTLEY, NJ 071102637 (Tel: 9736675773)

📍
Updated Business Mailing Address January 19, 2022

Registered at 120 MACE ST, STATEN ISLAND, NY 103061443 (Tel: 6462435620)

👤
Provider Name / Credentials Updated January 19, 2022

Recorded as KAITLIN KELLY, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2022

Pharmacist (License #28RI03970000 in NJ)

🟢
Initial NPI Registration & Enumeration January 19, 2022

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: 1013669209
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2022
Last Update: January 19, 2022
Sole Proprietor: Yes

Mailing Address

120 Mace St

Staten Island, NY 103061443

Phone: 6462435620

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.