Individual provider Active NPI

Stephanie Nicole Keely, PHARMD

  • Pharmacist
  • Cincinnati, OH
National Provider Identifier
1033501515
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03132209 Issued in OH
Practice address
510 Oak St RM 104
Cincinnati, OH 45219-2507
Phone
(513) 810-6139
Fax
(513) 824-8454
NPI assigned
Feb 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 016139 KY
Pharmacist 183500000X 03132209 OH Primary

Addresses

Primary practice location

510 Oak St RM 104
Cincinnati, OH 45219-2507

Mailing address

510 Oak St RM 104
Cincinnati, OH 45219-2507
Phone (513) 810-6139

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
016139KYMDPharmacist
03132209OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Genoa Healthcare LLC PastSince Nov 8, 2025 Accepting new patients

Organizations & group practices 1

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": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1033501515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 OAK ST RM 104",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192507",
            "telephone_number": "513-810-6139",
            "fax_number": "513-824-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 OAK ST RM 104",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192507",
            "telephone_number": "513-810-6139",
            "fax_number": "513-824-8454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELY",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-20",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "016139",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03132209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.