Active NPI
Simon Keegan
- Pharmacist
- Arnold, MD
National Provider Identifier
1154976694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26629
- Practice address
- 1460 Ritchie Hwy
Arnold, MD 21012-2730 - Phone
- (443) 949-8373
- NPI assigned
- Aug 1, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26629 | MD | Primary |
Addresses
Primary practice location
1460 Ritchie Hwy
Arnold, MD 21012-2730
Mailing address
8198 Poinsett Ter
Pasadena, MD 21122-3850
Phone (315) 868-8358
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26629 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1154976694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8198 POINSETT TER",
"city": "PASADENA",
"state": "MD",
"postal_code": "211223850",
"telephone_number": "315-868-8358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 RITCHIE HWY",
"city": "ARNOLD",
"state": "MD",
"postal_code": "210122730",
"telephone_number": "443-949-8373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEGAN",
"first_name": "SIMON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-01",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "26629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arnold, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.