Individual provider Active NPI

Suzanne Keyes, PHARMD

  • Pharmacist
  • Elk City, OK
National Provider Identifier
1013309632
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12291 Issued in OK
Practice address
1602 W 3Rd St
Elk City, OK 73644
Phone
(580) 225-5273
Fax
(580) 303-4483
NPI assigned
Feb 19, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 12291 OK Primary

Addresses

Primary practice location

1602 W 3Rd St
Elk City, OK 73644

Mailing address

1602 W 3Rd St
Elk City, OK 73644-5114
Phone (580) 225-5273

Other practice location 1

2103 S Main St Ste K
Elk City, OK 73644-9167
Phone (580) 225-5273

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
12291OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Keyes' Compounding & Specialty Drug CurrentSince Nov 9, 2021 Accepting new patients
Keyes Compounding & Specialy Drug Current Accepting new patients

Locations

1602 W 3rd St
Elk City, OK 73644
Phone (580) 225-5273

2103 S Main St
Ste K
Elk City, OK 73644
Phone (580) 225-5273

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1013309632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 W 3RD ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736445114",
            "telephone_number": "580-225-5273",
            "fax_number": "580-303-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W 3RD ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "73644",
            "telephone_number": "580-225-5273",
            "fax_number": "580-303-4483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 S Main St Ste K",
            "address_purpose": "LOCATION",
            "city": "Elk City",
            "state": "OK",
            "postal_code": "736449167",
            "country_code": "US",
            "telephone_number": "580-225-5273",
            "fax_number": "580-303-4483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEYES",
        "first_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-19",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "12291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.