Derrick J Keener, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

Practice address

25109 Ryan Rd
Warren, MI 48091-1324

Phone

(586) 756-8900

Fax

(586) 754-1875

NPI assigned

Nov 18, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • Philadelphia, PA
  • NPI 1861590481
  NPD
• Woodward Detroit CVS, L.L.C.

  • Pharmacy
  • Warren, MI
  • NPI 1982716817
  NPD (past)
• Pennsylvania CVS Pharmacy, L.L.C.

  • Pharmacy
  • West Chester, PA
  • NPI 1639063571
  NPD (past)

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1134722671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25109 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480911324",
            "telephone_number": "586-756-8900",
            "fax_number": "586-754-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25109 RYAN RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480911324",
            "telephone_number": "586-756-8900",
            "fax_number": "586-754-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENER",
        "first_name": "DERRICK",
        "middle_name": "J",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kay'S Compassionate Care Services,LLC
• Cierra Kazee
• Lorine Kean-Vaughn, LMSW
• Kayla Kedzior
• Justice Keech
• Stephen Marshall Kehres, D.O.
• Arati Kashinath Kelekar, MD
• Emily Jeanne Kelley, LLMSW
• Daniela Petrova Kelliker, DPT
• Robeert Kelly

• Pharmacy Technician in Warren, MI
• Providers in Warren, MI by specialty
• Pharmacy Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.