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Deactivated NPI 1255731063 Deactivated / Inactive NPI Male Practitioner

Robert Kelley , RPH

Pharmacist • Lynnwood, WA

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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, Robert Kelley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 28, 2014
NPI Deactivation Date April 27, 2020
Total Practice Duration ~6 Years of Practice (2014 – 2020)

Professional Overview & Biography Verified Profile Summary

Robert Kelley, RPH was a registered Pharmacist practicing in Lynnwood, WA. Throughout an active medical career spanning 6 years, Robert Kelley provided care at the practice location at 4209 192ND PL SW until profile deactivation on 2020-04-27.

Practice Location & Contact Primary Location

Practice Address

4209 192nd Pl Sw

Lynnwood, WA 980365633

Telephone 2532195983

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Lynnwood, WA

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

Practicing in Lynnwood, 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License WA PH00022010

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.

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 April 27, 2020

Record deactivated on April 27, 2020

NPI Profile Active August 28, 2014

NPI status registered as active in NPPES database

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Updated Practice Location August 28, 2014

Registered at 4209 192ND PL SW, LYNNWOOD, WA 980365633 (Tel: 2532195983)

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Updated Business Mailing Address August 28, 2014

Registered at 4209 192ND PL SW, LYNNWOOD, WA 980365633 (Tel: 2532195983)

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Provider Name / Credentials Updated August 28, 2014

Recorded as ROBERT KELLEY, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2014

Pharmacist (License #PH00022010 in WA)

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Initial NPI Registration & Enumeration August 28, 2014

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: 1255731063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2014
Last Update: August 28, 2014
Deactivation Date: April 27, 2020

Mailing Address

4209 192nd Pl Sw

Lynnwood, WA 980365633

Phone: 2532195983

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.