Keaton Steele Andrus, PHARMD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

807 University Pkwy
Johnson City, TN 37614-6500

Phone

(423) 439-2068

NPI assigned

Jul 13, 2011

Last updated

Jul 13, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310515200000",
    "number": "1346538287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 IAN DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042762",
            "telephone_number": "317-874-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 UNIVERSITY PKWY",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376146500",
            "telephone_number": "423-439-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRUS",
        "first_name": "KEATON",
        "middle_name": "STEELE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "45016903A",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Nicole Andies, LMSW
• Andrew R. Schwichtenberg
• Courtney Marie Andrews, M.A. CCC-SLP
• McKenna Alise Andrews
• Carey Lea Andrick, BS
• Anesthesia and Pain Consultants,P.C.
• Anesthesia of Northeast Tennessee PLLC
• Angela R. Cameron, D.D.S.,P.C.
• John George Angelopoulos, ED.D.
• Anindya Kumar Sen (East Tennessee Hematology/Oncology)

• Student in an Organized Health Care Education/Training Program in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Student in an Organized Health Care Education/Training Program in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.