IndividualActive
Shannon Kelly, PHARMD
NPI 1194172668 · Pharmacist · Portland, OR
Shannon Kelly, PHARMD is a Pharmacist provider in Portland, OR (NPI 1194172668).
Provider details
- NPI number
- 1194172668
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- PH60671456 (WA)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8329 Sw Beaverton Hillsdale Hwy Bldg 2
Portland, OR 97225-2215
Phone: (503) 414-5172
Street-level locationGet directions
Mailing address
380 Sw 194th Ct
Beaverton, OR 97006-1942
Additional practice locations (1)
- 1960 Nw 167th Pl Ste 100Beaverton, OR 97006-4805Phone: (503) 672-6000
Registry dates
- Enumerated
- 2016-05-15
- Last updated
- 2023-09-27
- Certified
- 2023-09-27
Frequently asked questions
- What is Shannon Kelly's NPI number?
- Shannon Kelly's National Provider Identifier (NPI) is 1194172668, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Kelly's specialty?
- Shannon Kelly is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Shannon Kelly located?
- Shannon Kelly's practice location on file with NPPES is 8329 Sw Beaverton Hillsdale Hwy Bldg 2, Portland, OR 97225-2215.
- What is Shannon Kelly's phone number?
- The practice phone number listed in the NPPES registry for Shannon Kelly is (503) 414-5172.
- Is Shannon Kelly's NPI active?
- Yes — Shannon Kelly's NPI (1194172668) is active in the NPPES registry as of the last update on 2023-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.