Active NPI
Jeffery O'Keefe Sr., RPH
- Pharmacist
- MTN Home Afb, ID
National Provider Identifier
1366436958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- P5433
- Practice address
- 90 Hope Dr
MTN Home Afb, ID 83648-1057 - Phone
- (208) 828-7480
- Fax
- (208) 828-3785
- NPI assigned
- Sep 9, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0009566 | OR | |
| Pharmacist | 183500000X | P5433 | ID | Primary |
Addresses
Primary practice location
90 Hope Dr
MTN Home Afb, ID 83648-1057
Mailing address
90 Hope Dr
MTN Home Afb, ID 83648-1062
Phone (208) 828-7480
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P5433 | ID | MD | Pharmacist |
| RPH-0009566 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt Home Refill Phcy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Military/U.S. Coast Guard Pharmacy
- Mountain Home Afb, ID
- NPI 1801959473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366436958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 HOPE DR",
"city": "MTN HOME AFB",
"state": "ID",
"postal_code": "836481062",
"telephone_number": "208-828-7480",
"fax_number": "208-828-3785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 HOPE DR",
"city": "MTN HOME AFB",
"state": "ID",
"postal_code": "836481057",
"telephone_number": "208-828-7480",
"fax_number": "208-828-3785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'KEEFE",
"first_name": "JEFFERY",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0009566",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ID",
"license": "P5433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in MTN Home Afb, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.