Barry Lynn Keeler

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

29416 Issued in CA

Practice address

Dominican Plaza Pharmacy
1595 Soquel Dr Suite 120
Santa Cruz, CA 95065

Phone

(831) 462-7726

Fax

(831) 462-7615

NPI assigned

Sep 7, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1215410188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3096 W LEDYARD WAY",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950033829",
            "telephone_number": "831-234-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DOMINICAN PLAZA PHARMACY",
            "address_2": "1595 SOQUEL DR SUITE 120",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "95065",
            "telephone_number": "831-462-7726",
            "fax_number": "831-462-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELER",
        "first_name": "BARRY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "CA",
            "license": "29416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF PHARMACY",
            "identifier": "29416",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenn Alan Kazmierski, L.AC.
• Cassidy Ke
• Nicole Marie Keadle
• Malcolm Dillon Kearns
• Corrina Riggs Keas
• Alicia Keen, MFT
• David Oliver Keenan, PA-C
• Patricia A Keenan, ACUPUNCTURIST , RN
• Keene Osteopathy Inc
• Kyle R Keene, D.O.

• Ambulatory Care Pharmacist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Ambulatory Care Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.