Organization Active NPI

Keith'S Parmacy LLC

  • Pharmacist
  • Garberville, CA
National Provider Identifier
1083014518
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
30813 Issued in CA
Legal business name
KEITH'S PARMACY LLC
Practice address
875 Redwood Dr
Garberville, CA 95542-3106
Phone
(707) 923-2461
Fax
(707) 923-4038
NPI assigned
Sep 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Authorized official

Name
Mr. Marvin Keith Lorang
Title
Owner/Pic
Phone
(707) 923-2461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X 30813 CA Primary

Addresses

Primary practice location

875 Redwood Dr
Garberville, CA 95542-3106

Mailing address

875 Redwood Dr
Garberville, CA 95542-3106
Phone (707) 923-2461

National Provider Directory

National Provider Directory

Locations

875 Redwood Dr
Garberville, CA 95542
Phone (707) 923-2461

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1083014518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 REDWOOD DR",
            "city": "GARBERVILLE",
            "state": "CA",
            "postal_code": "955423106",
            "telephone_number": "707-923-2461",
            "fax_number": "707-923-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 REDWOOD DR",
            "city": "GARBERVILLE",
            "state": "CA",
            "postal_code": "955423106",
            "telephone_number": "707-923-2461",
            "fax_number": "707-923-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH'S PARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "LORANG",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER/PIC",
        "authorized_official_telephone_number": "707-923-2461",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "30813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garberville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.