Keith John Kiedrow, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202205332 Issued in VA

Practice address

10903 New Hampshire Ave
White Oak Cder BLDG 22, Office 4242
Silver Spring, MD 20903-1058

Phone

(301) 796-1924

Fax

(301) 796-9838

NPI assigned

Sep 22, 2009

Last updated

Sep 22, 2009By 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 1

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": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1366776486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 MIDTOWN AVE APT 211",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223031422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10903 NEW HAMPSHIRE AVE",
            "address_2": "WHITE OAK CDER BLDG 22, OFFICE 4242",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209031058",
            "telephone_number": "301-796-1924",
            "fax_number": "301-796-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEDROW",
        "first_name": "KEITH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202205332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Khazanova, NCC
• Danson Khisa Jr.
• Arifa I Khokar, MD
• Roy Gergi Khoury, M.D.
• Farook J Kidwai, MD
• Sharon Kiernan, M.D.
• Rahel G Kifle
• Efrem Kiflu
• Chelsea Kigh
• Tirop Kiituur, MA, NBHWC

• Pharmacist in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Pharmacist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.