Keith Avery Robak, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP045042T Issued in PA

Practice address

1540 Cowpath Rd
Hatfield, PA 19440-3182

Phone

(215) 412-9264

NPI assigned

Nov 17, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• The Giant Company, LLC

  • Community/Retail Pharmacy
  • Quarryville, PA
  • NPI 1952182305
  NPD (past)

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1356944052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 COWPATH RD",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194403182",
            "telephone_number": "215-412-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 COWPATH RD",
            "city": "HATFIELD",
            "state": "PA",
            "postal_code": "194403182",
            "telephone_number": "215-412-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBAK",
        "first_name": "KEITH",
        "middle_name": "AVERY",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP045042T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy-Lee Radishofski
• Mikayla Raggi, PT, DPT
• Dhara Kamleshkumar Raj, PHARMD
• Rehab One
• Jules A. Riehs Jr., PSY.D.
• Royal Homestar, LLC
• Talia Anne Sabatini
• Hassan Salah, DMD
• Jillian Sarm
• Jennifer Schlaufman

• Pharmacist in Hatfield, PA
• Providers in Hatfield, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.