Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1700923323 Deactivated / Inactive NPI Male Practitioner

Michael John Kelley , RPH, MBA

Pharmacist • Kearns, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michael Kelley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 31, 2007
NPI Deactivation Date February 27, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Michael Kelley, RPH, MBA was a registered Pharmacist practicing in Kearns, UT. Throughout an active medical career spanning 10 years, Michael Kelley provided care at the practice location at 4874 W 6200 S until profile deactivation on 2017-02-27.

Practice Location & Contact Primary Location

Practice Address

4874 W 6200 S

Kearns, UT 841186701

Telephone 8019637200
Fax 8019637255
Associated Practice Facility / Clinic
🏢 Harmon City Inc Facility NPI 1508879438

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Kearns, UT

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

Practicing in Kearns, UT (2037 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License UT 4905317-1701

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

4 Associated Practitioners
Dr. Hailey Vandenhazel , PharmD

Pharmacist - Pharmacotherapy

NPI 1073481925

Doctor of Pharmacy (Pharm.D.)

NPI 1184352049

Doctor of Pharmacy (Pharm.D.)

NPI 1205706942
NPI 1740732643

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 27, 2017

Record deactivated on February 27, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4874 W 6200 S, KEARNS, UT 841186701 (Tel: 8019637200)

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Updated Business Mailing Address July 08, 2007

Registered at 11627 COUNTRY CROSSING RD, SOUTH JORDAN, UT 840958014 (Tel: 8012829748)

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Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL KELLEY, RPH, MBA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #4905317-1701 in UT)

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Initial NPI Registration & Enumeration January 31, 2007

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: 1700923323
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2007
Last Update: July 08, 2007
Deactivation Date: February 27, 2017

Mailing Address

11627 Country Crossing Rd

South Jordan, UT 840958014

Phone: 8012829748

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.