Active NPI
Samuel Keeven, PHARMD
- Pharmacist
- Farmington, MO
National Provider Identifier
1306433230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2018044661
- Practice address
- 101 E Karsch Blvd
Farmington, MO 63640-1235 - Phone
- (573) 701-0639
- NPI assigned
- Dec 27, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2018044661 | MO | Primary |
Addresses
Primary practice location
101 E Karsch Blvd
Farmington, MO 63640-1235
Mailing address
7201A Beach LN
Sainte Genevieve, MO 63670-8123
Phone (314) 477-3477
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 |
|---|---|---|---|
| 2018044661 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri CVS Pharmacy LLC | Past | Accepting new patients | |
| Missouri CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Saint Louis, MO
- NPI 1073361952
-
- Pharmacy
- Farmington, MO
- NPI 1104205749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609027200000",
"number": "1306433230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7201A BEACH LN",
"city": "SAINTE GENEVIEVE",
"state": "MO",
"postal_code": "636708123",
"telephone_number": "314-477-3477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E KARSCH BLVD",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401235",
"telephone_number": "573-701-0639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEVEN",
"first_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-27",
"last_updated": "2020-12-27",
"certification_date": "2020-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2018044661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Farmington, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.