Julian F. Keith Alcohol & Drug Abuse Treatment Center

Primary specialty

Institutional PharmacyTaxonomy code 3336I0012X

License

10287 Issued in NC

Legal business name

JULIAN F. KEITH ALCOHOL & DRUG ABUSE TREATMENT CENTER

Doing business as

Julian F. Keith Alcohol & Drug Abuse Treatment Center

Practice address

201 Tabernacle Rd
Black Mountain, NC 28711-2526

Phone

(828) 257-6320

Fax

(828) 257-6399

NPI assigned

Jan 30, 2015

Last updated

Jan 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jackie Evans

Title

Director, Pharmacy Services

Phone

(828) 257-6320

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Julian F. Keith Alcohol & Drug Abuse Treatment Center Doing business as

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1063802999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 TABERNACLE RD",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287112526",
            "telephone_number": "828-257-6320",
            "fax_number": "828-257-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TABERNACLE RD",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287112526",
            "telephone_number": "828-257-6320",
            "fax_number": "828-257-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIAN F. KEITH ALCOHOL & DRUG ABUSE TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "DIRECTOR, PHARMACY SERVICES",
        "authorized_official_telephone_number": "828-257-6320"
    },
    "taxonomies": [
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NC",
            "license": "10287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149634",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Julian F. Keith Alcohol & Drug Abuse Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Campos Johnson, LCMHC, LCAS, LPC
• Evan G Jones
• Taylor C Jones, PHARMD
• Julian F Keith Alcohol and Drug Abuse Treatment Center (Julian F. Keith ADATC Outpatient Services)
• Julian F Keith Alcohol and Drug Abuse Treatment Center
• Melissa Stewart Kale, LCMHC
• Michael Shane Kamer, D.C.
• Katherine E Milam Better View Family Eye Care
• Carol H Kaufman, MD
• R. Bruce Kelly, M.D.

• Institutional Pharmacy in Black Mountain, NC
• Providers in Black Mountain, NC by specialty
• Institutional Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.