OrganizationActive
Kelley Pharmacy Inc
NPI 1366578114 · Pharmacy · South Burlington, VT
Kelley Pharmacy Inc is a Pharmacy organization in South Burlington, VT (NPI 1366578114).
Provider details
- NPI number
- 1366578114
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Scott Brown, Owner Pharmacist(802) 864-0812
- License
- 038-0002622 (VT)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
42 Timber Ln
South Burlington, VT 05403-7204
Phone: (802) 864-0812
Street-level locationGet directions
Mailing address
42 Timber Ln
South Burlington, VT 05403-7204
Other names (DBA / former)
- Doing business as
- Custom Prescription Shoppe
Registry dates
- Enumerated
- 2007-02-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is Kelley Pharmacy Inc's NPI number?
- Kelley Pharmacy Inc's National Provider Identifier (NPI) is 1366578114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kelley Pharmacy Inc?
- Kelley Pharmacy Inc is classified in the NPPES registry as Pharmacy (Suppliers).
- Where is Kelley Pharmacy Inc located?
- Kelley Pharmacy Inc's practice location on file with NPPES is 42 Timber Ln, South Burlington, VT 05403-7204.
- What is Kelley Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Kelley Pharmacy Inc is (802) 864-0812.
- Who is the authorized official for Kelley Pharmacy Inc?
- The authorized official listed on Kelley Pharmacy Inc's NPPES record is Scott Brown, Owner Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kelley Pharmacy Inc's NPI active?
- Yes — Kelley Pharmacy Inc's NPI (1366578114) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.