IndividualActive
Michael Kelly, PHARM.D.
NPI 1336142942 · Pharmacotherapy Pharmacist · Salem, OR
Provider details
- NPI number
- 1336142942
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- Sole proprietor
- No
- License
- PH00052198 (WA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
3750 Chemawa Rd Ne
Salem, OR 97305-1119
Phone: (503) 304-7600
Street-level locationGet directions
Mailing address
1830 24th St Ne
Salem, OR 97301-8148
Registry dates
- Enumerated
- 2005-05-27
- Last updated
- 2016-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.