Individual provider Active NPI

Howard Marshall Keebler III, RPH

  • Pharmacist
  • Emporium, PA
National Provider Identifier
1194029538
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP062285L Issued in PA
Practice address
318 E 4TH St
Emporium, PA 15834-1514
Phone
(814) 486-1191
Fax
(814) 486-1195
NPI assigned
Dec 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP062285L PA Primary
Pharmacy 333600000X PP410821L PA

Addresses

Primary practice location

318 E 4TH St
Emporium, PA 15834-1514

Mailing address

318 E 4TH St
Emporium, PA 15834-1514
Phone (814) 486-1191

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP062285LPAMDPharmacist
PP410821LPAMDPharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Xavier Williams Corporation Pharmacy Past Accepting new patients

Organizations & group practices 1

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": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1194029538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 E 4TH ST",
            "city": "EMPORIUM",
            "state": "PA",
            "postal_code": "158341514",
            "telephone_number": "814-486-1191",
            "fax_number": "814-486-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E 4TH ST",
            "city": "EMPORIUM",
            "state": "PA",
            "postal_code": "158341514",
            "telephone_number": "814-486-1191",
            "fax_number": "814-486-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEBLER",
        "first_name": "HOWARD",
        "middle_name": "MARSHALL",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP062285L",
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP410821L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporium, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.