Active NPI
Keith'S Parmacy LLC
- Pharmacist
- Garberville, CA
National Provider Identifier
1083014518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 30813
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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 DirectoryLocations
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.