Individual provider Active NPI

Molly Elizabeth Keaton

  • Pharmacist
  • Clayton, GA
National Provider Identifier
1154670727
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25942 Issued in GA
Practice address
355 Highway 441 S
Clayton, GA 30525-5454
Phone
(706) 212-0581
Fax
(706) 212-0143
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 13563 SC
Pharmacist 183500000X 25942 GA Primary

Addresses

Primary practice location

355 Highway 441 S
Clayton, GA 30525-5454

Mailing address

355 Highway 441 S
Clayton, GA 30525-5454
Phone (706) 212-0581

Other practice location 1

101 Hampton Ave
Pickens, SC 29671-2462
Phone (864) 878-0599

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

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Dec 28, 2022 Accepting new patients
Walgreen Co PastSince Mar 27, 2022 Accepting new patients
Walgreen Co PastSince Dec 28, 2022 Accepting new patients

Locations

355 Highway 441 S
Clayton, GA 30525
Phone (706) 212-0581

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1154670727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 HIGHWAY 441 S",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305255454",
            "telephone_number": "706-212-0581",
            "fax_number": "706-212-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 HIGHWAY 441 S",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305255454",
            "telephone_number": "706-212-0581",
            "fax_number": "706-212-0143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Hampton Ave",
            "address_purpose": "LOCATION",
            "city": "Pickens",
            "state": "SC",
            "postal_code": "296712462",
            "country_code": "US",
            "telephone_number": "864-878-0599",
            "fax_number": "864-878-0756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEATON",
        "first_name": "MOLLY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "13563",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "25942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.