Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Dr. Kelly E. Brodetsky, PHARMD

Pharmacist in Mendocino, CA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1659446540

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Registry record

Entity type Individual (Type 1)

Name Dr. Kelly E. Brodetsky

Credential PHARMD

Sex Female

Practice address Mendocino, CA, 95460

Phone (707) 937-4800

Fax (707) 937-5800

Enumeration date Nov 24, 2006

Last updated in NPPES Mar 7, 2023

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

183500000X Pharmacist Pharmacy Service Providers · License PHY45989 (CA) Primary

PHARMD · Doctor of Pharmacy: A licensed pharmacist with a professional doctorate in pharmacy. About the PHARMD credential

Other identifiers

Identifier	Type	State	Issuer
PHY45989	Other	CA	STATE LICENSE NUMBER
412046786	Other	CA	FEDERAL TAX ID
0582292	Other	CA	NCPDP NUMBER
PHA459890	Medicaid	CA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Kelly Brodetsky?

The National Provider Identifier (NPI) for Kelly Brodetsky is 1659446540, a Type 1 (individual) record in the CMS NPPES registry.

Where does Kelly Brodetsky practice?

The practice location on file with NPPES is in Mendocino, CA. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-03-07.