Individual provider · Type 1 NPI

Kelly Bishop

Pharmacist · Jacksonville, FL

NPI number 1104745306 Active

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Mailing address

11727 Abess Blvd Apt 3110
Jacksonville, FL 32225-6059

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XPS70882 (FL)

Pharmacist: 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…

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About NPI 1104745306

Kelly Bishop's National Provider Identifier is 1104745306, issued on Jul 13, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Jacksonville, FL. The record was last updated on Jul 13, 2026.