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

Mrs. Jacqulyn Myra Kelly, RPH

Individual provider Pharmacist · NPI 1992086045

Mrs. Jacqulyn Myra Kelly, RPH is a Pharmacist in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2011
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

2504 E Bergeson St
Boise, ID 83706-6014
Phone: (208) 343-3831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence P5381 (ID)

Record details

NPI number1992086045
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorYes
NPI enumeratedSeptember 2, 2011
Last updated in NPPESSeptember 2, 2011

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