Active NPI
Stacie Keenan, PHARMACIST
- Pharmacist
- Lovingston, VA
National Provider Identifier
1225323850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202009399
- Practice address
- 74 Tanbark Plaza
Lovingston, VA 22948 - Phone
- (434) 263-4224
- Fax
- (434) 263-5106
- NPI assigned
- Jun 11, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 0202009399 | VA | Primary |
Addresses
Primary practice location
74 Tanbark Plaza
Lovingston, VA 22948
Mailing address
74 Tanbark Plaza
Lovingston, VA 22948
Phone (434) 263-4224
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 |
|---|---|---|---|
| 0202009399 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1225323850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 TANBARK PLAZA",
"city": "LOVINGSTON",
"state": "VA",
"postal_code": "22948",
"telephone_number": "434-263-4224",
"fax_number": "434-263-5106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 TANBARK PLAZA",
"city": "LOVINGSTON",
"state": "VA",
"postal_code": "22948",
"telephone_number": "434-263-4224",
"fax_number": "434-263-5106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENAN",
"first_name": "STACIE",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-11",
"last_updated": "2017-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202009399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lovingston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.