Keith Alan Swanson, PHARM.D., CGP

Primary specialty

Geriatric PharmacistTaxonomy code 1835G0303X

License

12152 Issued in OK

Practice address

1110 N Stonewall
Box 26901
Oklahoma City, OK 73190-0001

Phone

(405) 271-6878

Fax

(405) 271-6430

NPI assigned

Sep 28, 2006

Last updated

Jul 25, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1073605275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 RICHMOND RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343235",
            "telephone_number": "405-359-7356",
            "fax_number": "405-271-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 N STONEWALL",
            "address_2": "BOX 26901",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731900001",
            "telephone_number": "405-271-6878",
            "fax_number": "405-271-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "KEITH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., CGP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "9909",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "OK",
            "license": "12152",
            "primary": false
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "OK",
            "license": "12152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmy Dean Swan II, DDS
• Esparanza Danielle Swaner
• Ronda A Swank, PTA
• Aubrie-Anna Swanson
• Jessica R. Swanson, P.T.
• Kelly S Swanson, RD
• Laura V Swant, DO
• Bishr Swar
• Shay Lynn Swartwood, PHARM. D.
• Kerrie Swartz, CRNA

• Geriatric Pharmacist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Geriatric Pharmacist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.