Individual provider Active NPI

Michael E. Keny, D.PH

  • Pharmacist
  • Lewisburg, TN
National Provider Identifier
1013077460
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0000000619 Issued in TN
Practice address
521 W Commerce St
Lewisburg, TN 37091-3219
Phone
(931) 359-2534
Fax
(931) 359-2569
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0000000619 TN Primary

Addresses

Primary practice location

521 W Commerce St
Lewisburg, TN 37091-3219

Mailing address

521 W Commerce St
Lewisburg, TN 37091-3219
Phone (931) 359-2534

Other identifiers 1

IdentifierTypeStateIssuer
3511622MedicaidTN

Other names 1

  • Dr. Samuel M. Keny Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0000000619TNMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013077460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W COMMERCE ST",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370913219",
            "telephone_number": "931-359-2534",
            "fax_number": "931-359-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W COMMERCE ST",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370913219",
            "telephone_number": "931-359-2534",
            "fax_number": "931-359-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENY",
        "first_name": "MICHAEL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "0000000619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3511622",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMUEL",
            "last_name": "KENY",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "D.PH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lewisburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.