IndividualActive
Nicholas Kelly, PHARMD
NPI 1366081945 · Pharmacist · Grafton, WI
Provider details
- NPI number
- 1366081945
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- No
- License
- 051302475 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1250 N Port Washington Rd
Grafton, WI 53024-9315
Phone: (262) 375-6738
Street-level locationGet directions
Mailing address
1632 N Franklin Pl Apt 512
Milwaukee, WI 53202-3774
Registry dates
- Enumerated
- 2019-12-31
- Last updated
- 2020-03-25
- Certified
- 2020-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.