Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Todd Waldrip

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1619508322

Kelly Todd Waldrip is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Horn Lake, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2020

Practice location Address checks out

3926 Goodman Rd W
Horn Lake, MS 38637-1324
Phone: (662) 393-7868
Fax: (662) 393-1076
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence E-08238 (MS)

Record details

NPI number1619508322
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 31, 2020
Last updated in NPPESJanuary 31, 2020
Certification dateJanuary 31, 2020
Mailing address3926 Goodman Rd W, Horn Lake, MS 38637-1324

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