Jerilyn McKeon, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

6422274-1701 Issued in UT

Practice address

1440 Seabiscuit Dr
Kaysville, UT 84037-0175

Phone

(435) 840-8350

NPI assigned

Oct 30, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Family Helping Family Co

  • In Home Supportive Care Agency
  • Kaysville, UT
  • NPI 1639957749
  NPD

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1174395487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 SEABISCUIT DR",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840370175",
            "telephone_number": "435-840-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 SEABISCUIT DR",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840370175",
            "telephone_number": "435-840-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEON",
        "first_name": "JERILYN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "WA",
            "license": "PH00070051",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "ID",
            "license": "P10671",
            "primary": false
        },
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "UT",
            "license": "6422274-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dee Milton Marble, SUDC
• Juan Antonio Martinez, Certified Case Manager, ABH CASE MANAGER
• Trisha McArthur, PT
• Kamille Kimber McClanahan
• Scott McCullough, SUDC
• Trevor McLean, PHARMD
• Chris McRoberts, PH.D.
• Trisha Diane McWilliams, LCSW
• Melanie Nielsen Pmhnp PLLC
• Maeli Merrill, LMT, CFNS

• Ambulatory Care Pharmacist in Kaysville, UT
• Providers in Kaysville, UT by specialty
• Ambulatory Care Pharmacist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.