Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093269375 Individual Practitioner Female Practitioner

Dr. Kelly Sinclair Mendoza , MS, PharmD, BCPS

Pharmacist • Longview, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Mendoza, MS, PharmD, BCPS is a registered healthcare professional specializing in Pharmacist in Longview, WA. Practice services are available at 1615 DELAWARE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1615 Delaware St

Longview, WA 986322367

Telephone 3604147894
Fax 3604426843
Associated Practice Facility / Clinic
🏢 Peacehealth Facility NPI 1073510277

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Longview, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
81 Specialists

Practicing in Longview, WA (7956 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: 2023-05-12
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WA 61380854

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License CA 78094

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

State License AZ S021417

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

7 Associated Practitioners
NPI 1114138690

Doctor of Pharmacy (Pharm.D.)

NPI 1427287911

Doctor of Medicine (M.D.), Master of Public Health, FAAFP

NPI 1447821343

Doctor of Medicine (M.D.)

Dr. Venkata Konda , MD

Internal Medicine

NPI 1679851786

Doctor of Medicine (M.D.)

Dr. Jason Hong , MD

Internal Medicine

NPI 1881074656

Doctor of Medicine (M.D.)

NPI 1932628690

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location February 01, 2023

Registered at 1615 DELAWARE ST, LONGVIEW, WA 986322367 (Tel: 4802422472)

📍
Updated Business Mailing Address February 01, 2023

Registered at 1615 DELAWARE ST, LONGVIEW, WA 986322367

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 01, 2023

Pharmacist (License #78094 in CA)

👤
Provider Name / Credentials Updated November 13, 2019

Recorded as KELLY MENDOZA, MS, PHARMD, BCPS

NPI Profile Active November 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 16, 2017

Registered at 400 W MINERAL KING AVE, VISALIA, CA 932916237 (Tel: 5596242234)

📍
Updated Business Mailing Address November 16, 2017

Registered at 400 W MINERAL KING AVE, VISALIA, CA 932916237

👤
Provider Name / Credentials Updated November 16, 2017

Recorded as KELLY MENDOZA, MS, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 16, 2017

Pharmacist (License #S021417 in AZ)

NPI Profile Active August 04, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2016

Registered at 20 N PINE ST RM S410, BALTIMORE, MD 212011142 (Tel: 4802422472)

📍
Updated Business Mailing Address August 04, 2016

Registered at 20 N PINE ST RM S410, BALTIMORE, MD 212011142

👤
Provider Name / Credentials Updated August 04, 2016

Recorded as KELLY MENDOZA, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2016

Pharmacist (License #24228 in MD)

🟢
Initial NPI Registration & Enumeration August 04, 2016

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: 1093269375
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2016
Last Update: June 23, 2023
Sole Proprietor: Yes

Mailing Address

1615 Delaware St

Longview, WA 986322367

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.