NPIMap

Organization Active NPI

Keltman Pharmaceuticals Inc

  • Pharmacy
  • Flowood, MS
National Provider Identifier
1245531573
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
RK0307240 Issued in MS
Legal business name
KELTMAN PHARMACEUTICALS INC
Practice address
1 Lakeland SQ
Suite a
Flowood, MS 39232-8826
Phone
(601) 936-7533
NPI assigned
Nov 3, 2010
Last updated
Nov 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Authorized official

Name
Mr. Wyatt Waltman
Title
Ceo
Phone
(601) 936-7533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X RK0307240 MS Primary

Addresses

Primary practice location

1 Lakeland SQ
Suite a
Flowood, MS 39232-8826

Mailing address

1 Lakeland SQ
Suite a
Flowood, MS 39232-8826
Phone (601) 936-7533

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1245531573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LAKELAND SQ",
            "address_2": "SUITE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328826",
            "telephone_number": "601-936-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAKELAND SQ",
            "address_2": "SUITE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328826",
            "telephone_number": "601-936-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELTMAN PHARMACEUTICALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "WALTMAN",
        "authorized_official_first_name": "WYATT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-936-7533",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "RK0307240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.