Individual provider Active NPI

William Joseph Keenan, CPHT, NRP

  • Pharmacy Technician
  • Parkville, MD
National Provider Identifier
1295039402
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
T07045 Issued in MD
Practice address
8858 Waltham Woods Rd
Parkville, MD 21234-2402
Phone
(410) 882-8825
Fax
(410) 882-8841
NPI assigned
Jan 3, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 1750109 MD
Pharmacy Technician 183700000X T07045 MD Primary

Addresses

Primary practice location

8858 Waltham Woods Rd
Parkville, MD 21234-2402

Mailing address

8858 Waltham Woods Rd
Parkville, MD 21234-2402
Phone (410) 882-8825

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

LicenseStateTypeSpecialty
1750109MDMDParamedic
T07045MDMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1295039402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8858 WALTHAM WOODS RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342402",
            "telephone_number": "410-882-8825",
            "fax_number": "410-882-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8858 WALTHAM WOODS RD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342402",
            "telephone_number": "410-882-8825",
            "fax_number": "410-882-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "CPHT, NRP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-01-03",
        "last_updated": "2022-09-22",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "MD",
            "license": "1750109",
            "primary": false
        },
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MD",
            "license": "T07045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.