Active NPI
Shauna M McKeever, PHARMD., RPH
- Pharmacist
- Lodi, CA
National Provider Identifier
1073813895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 53585
- Practice address
- 2449 W Kettleman LN
Lodi, CA 95242-4124 - Phone
- (209) 367-7744
- Fax
- (209) 367-7889
- NPI assigned
- Oct 26, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 53585 | CA | Primary |
Addresses
Primary practice location
2449 W Kettleman LN
Lodi, CA 95242-4124
Mailing address
PO Box 690026
Stockton, CA 95269-0026
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53585 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365638400000",
"number": "1073813895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 690026",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952690026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2449 W KETTLEMAN LN",
"city": "LODI",
"state": "CA",
"postal_code": "952424124",
"telephone_number": "209-367-7744",
"fax_number": "209-367-7889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEEVER",
"first_name": "SHAUNA",
"middle_name": "M",
"credential": "PHARMD., RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-26",
"last_updated": "2013-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "53585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.