Active NPI
Patrick James McKeon II, PHARMD.
- Pharmacist
- Tampa, FL
National Provider Identifier
1194166793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS53318
- Practice address
- 5125 Palm Springs Blvd
Unit 12302
Tampa, FL 33647-5013 - Phone
- (813) 817-3282
- NPI assigned
- Jul 11, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PSI28976 | FL | |
| Pharmacist | 183500000X | PS53318 | FL | Primary |
Addresses
Primary practice location
5125 Palm Springs Blvd
Unit 12302
Tampa, FL 33647-5013
Mailing address
1810 E Palm Ave
Apt 4103
Tampa, FL 33605-3938
Phone (813) 817-3282
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS53318 | FL | MD | Pharmacist |
| PSI28976 | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437609600000",
"number": "1194166793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 E PALM AVE",
"address_2": "APT 4103",
"city": "TAMPA",
"state": "FL",
"postal_code": "336053938",
"telephone_number": "813-817-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5125 PALM SPRINGS BLVD",
"address_2": "UNIT 12302",
"city": "TAMPA",
"state": "FL",
"postal_code": "336475013",
"telephone_number": "813-817-3282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEON",
"first_name": "PATRICK",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-11",
"last_updated": "2015-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "PSI28976",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS53318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.