Individual provider Active NPI

Keith Starr, PHARMD

  • Pharmacist
  • Chandler, AZ
National Provider Identifier
1023679834
Registry record updated Jun 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S012653 Issued in AZ
Practice address
1925 W Chandler Blvd
Chandler, AZ 85224-6149
Phone
(480) 963-2705
NPI assigned
Jun 23, 2019
Last updated
Jun 23, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S012653 AZ Primary

Addresses

Primary practice location

1925 W Chandler Blvd
Chandler, AZ 85224-6149

Mailing address

15430 N 86TH LN
Peoria, AZ 85382-4729
Phone (623) 238-2123

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
S012653AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1561248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561248000000",
    "number": "1023679834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15430 N 86TH LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853824729",
            "telephone_number": "623-238-2123",
            "fax_number": "623-266-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W CHANDLER BLVD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246149",
            "telephone_number": "480-963-2705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARR",
        "first_name": "KEITH",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-23",
        "last_updated": "2019-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S012653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2019; 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.