Organization Active NPI

Keever Pharmacy , LLC

  • Community/Retail Pharmacy
  • Lincolnton, NC
National Provider Identifier
1104310028
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
13747 Issued in NC
Legal business name
KEEVER PHARMACY , LLC
Doing business as
Keever Pharmacy
Practice address
1814 E Main St
Lincolnton, NC 28092-3915
Phone
(704) 735-9072
Fax
(704) 735-5972
NPI assigned
Jun 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Patrick Fletcher, PHARMDNPI 1043474117
Title
Pharmacist Owner/Manager
Phone
(704) 735-9072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 13747 NC
Pharmacy 333600000X 13747 NC
Community/Retail Pharmacy 3336C0003X 13747 NC Primary

Addresses

Primary practice location

1814 E Main St
Lincolnton, NC 28092-3915

Mailing address

1814 E Main St
Lincolnton, NC 28092-3915
Phone (704) 735-9072

Other identifiers 1

IdentifierTypeStateIssuer
0555292MedicaidNC

Other names 1

  • Keever Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20181008003204 NC DME Supplier - Pharmacy 2769734482 Practice locations: Lincolnton, NC
O20190312003596 NC Part B Supplier - Mass Immunization (Roster Biller Only) 2769734482 Practice locations: Lincolnton, NC

National Provider Directory

National Provider Directory
Tax ID family
Keever Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1104310028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 E MAIN ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923915",
            "telephone_number": "704-735-9072",
            "fax_number": "704-735-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 E MAIN ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923915",
            "telephone_number": "704-735-9072",
            "fax_number": "704-735-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEEVER PHARMACY , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PHARMACIST OWNER/MANAGER",
        "authorized_official_telephone_number": "704-735-9072",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "13747",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "13747",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "13747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0555292",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keever Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.