Individual provider Active NPI

Cheyenne Jade McKeehan, PHARMD

  • Pharmacist
  • Des Moines, IA
National Provider Identifier
1063017333
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23921 Issued in IA
Practice address
215 Euclid Ave
Des Moines, IA 50313-4403
Phone
(515) 282-8454
Fax
(515) 282-8450
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23921 IA Primary

Addresses

Primary practice location

215 Euclid Ave
Des Moines, IA 50313-4403

Mailing address

215 Euclid Ave
Des Moines, IA 50313-4403
Phone (515) 282-8454

Other names 1

  • Cheyenne Jade Caldwell Former 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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
23921IAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1063017333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 EUCLID AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503134403",
            "telephone_number": "515-282-8454",
            "fax_number": "515-282-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 EUCLID AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503134403",
            "telephone_number": "515-282-8454",
            "fax_number": "515-282-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEEHAN",
        "first_name": "CHEYENNE",
        "middle_name": "JADE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "23921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHEYENNE",
            "last_name": "CALDWELL",
            "middle_name": "JADE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.