Healthcare Provider Details

I. General information

NPI: 1972903789
Provider Name (Legal Business Name): KELLY L CUMMINS PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2014
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7870 N SILVERBELL RD
TUCSON AZ
85743-8230
US

IV. Provider business mailing address

7870 N SILVERBELL RD
TUCSON AZ
85743-8230
US

V. Phone/Fax

Practice location:
  • Phone: 520-744-7832
  • Fax:
Mailing address:
  • Phone: 520-744-7832
  • Fax: 520-744-7841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberS020524
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberS020524
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: