Organization Active NPI

Keaslings Corp

  • Pharmacist
  • Keokuk, IA
National Provider Identifier
1346348372
Registry record updated Nov 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12020 Issued in IA
Legal business name
KEASLINGS CORP
Practice address
1414 Main St
Keokuk, IA 52632-3926
Phone
(319) 524-5435
Fax
(319) 524-5710
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2010

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

Authorized official

Name
H. Wesley Brown, RPH
Title
Pharmacist in Charge/Owner
Phone
(319) 524-5435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 12020 IA Primary

Addresses

Primary practice location

1414 Main St
Keokuk, IA 52632-3926

Mailing address

1414 Main St
Keokuk, IA 52632-3926
Phone (319) 524-5435

Other identifiers 2

IdentifierTypeStateIssuer
0028191MedicaidIA
60058507MedicaidMO

National Provider Directory

National Provider Directory

Locations

1414 Main St
Keokuk, IA 52632
Phone (319) 524-0123

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1346348372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 MAIN ST",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526323926",
            "telephone_number": "319-524-5435",
            "fax_number": "319-524-5710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 MAIN ST",
            "city": "KEOKUK",
            "state": "IA",
            "postal_code": "526323926",
            "telephone_number": "319-524-5435",
            "fax_number": "319-524-5710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEASLINGS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "H. WESLEY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/OWNER",
        "authorized_official_telephone_number": "319-524-5435",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "12020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0028191",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60058507",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keokuk, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.