Individual provider · Type 1 NPI

Nicholas S. Kelly, PharmD

Pharmacist · Grafton, WI

NPI number 1366081945 Active

Practice location

1250 N Port Washington Rd
Grafton, WI 53024-9315

Mailing address

1632 N Franklin Pl Apt 512
Milwaukee, WI 53202-3774

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X051302475 (IL)
Pharmacist Primary 183500000X2018040 (WI)

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 1366081945

Nicholas S. Kelly, PharmD's National Provider Identifier is 1366081945, issued on Dec 31, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Grafton, WI. The record was last updated on Mar 25, 2020.