Organization
KELLY'S PHARMACY INC.
Active
Other names
Kelly's Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN KELLY BS PHARMACY (PRESIDENT)
(518) 966-4800
Entity
Organization
Contact information
Practice address
4852 STATE ROUTE 81, GREENVILLE, NY 12083
(518) 966-4800
(518) 966-4950
Mailing address
PO BOX 422, GREENVILLE, NY 12083-0422
(518) 966-4800
(518) 966-4950
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030985
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06305095
—
NY
01
—
2132755
PK
—
Enumeration date
12/02/2011
Last updated
05/21/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us