Individual provider Active NPI

Brandi Alexandra Keaton, PHARMACIST

  • Pharmacist
  • Beckley, WV
National Provider Identifier
1063166783
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP0012663 Issued in WV
Practice address
221 George St
Beckley, WV 25801-2609
Phone
(681) 207-7334
NPI assigned
Feb 10, 2022
Last updated
Jul 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 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 RP0012663 WV Primary

Addresses

Primary practice location

221 George St
Beckley, WV 25801-2609

Mailing address

1299 Robert C. Byrd Drive
Crab Orchard, WV 25827
Phone (304) 253-7474

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
RP0012663WVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Pharmacy CurrentSince Oct 30, 2022 Accepting new patients
Crab Orchard Pharmacy Inc PastSince Jul 17, 2022 Accepting new patients

Locations

221 George St
Beckley, WV 25801
Phone (681) 238-6634

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1063166783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 ROBERT C. BYRD DRIVE",
            "city": "CRAB ORCHARD",
            "state": "WV",
            "postal_code": "25827",
            "telephone_number": "304-253-7474",
            "fax_number": "304-253-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 GEORGE ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012609",
            "telephone_number": "681-207-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATON",
        "first_name": "BRANDI",
        "middle_name": "ALEXANDRA",
        "credential": "PHARMACIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-07-01",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0012663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.