Healthcare Provider Details

I. General information

NPI: 1225585375
Provider Name (Legal Business Name): KELLI BECKSTEAD PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2016
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1585 GEORGESVILLE SQUARE DR
COLUMBUS OH
43228-3777
US

IV. Provider business mailing address

1585 GEORGESVILLE SQUARE DR
COLUMBUS OH
43228-3777
US

V. Phone/Fax

Practice location:
  • Phone: 614-878-1664
  • Fax:
Mailing address:
  • Phone: 614-878-1664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03236646
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051299494
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number051299494
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: