Active NPI
Michael John Keane, RPH
- Pharmacist
- East Brunswick, NJ
National Provider Identifier
1376755223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI01794400
- Practice address
- 722 State Route 18
East Brunswick, NJ 08816-3723 - Phone
- (732) 257-3333
- Fax
- (732) 257-3273
- NPI assigned
- May 4, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI01794400 | NJ | Primary |
Addresses
Primary practice location
722 State Route 18
East Brunswick, NJ 08816-3723
Mailing address
212 4TH Ave
Belmar, NJ 07719-2018
Phone (732) 280-7225
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 |
|---|---|---|---|
| 28RI01794400 | NJ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ishaan Drugs LLC | Past | Accepting new patients | |
| Amarc Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376755223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 4TH AVE",
"city": "BELMAR",
"state": "NJ",
"postal_code": "077192018",
"telephone_number": "732-280-7225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 STATE ROUTE 18",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163723",
"telephone_number": "732-257-3333",
"fax_number": "732-257-3273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEANE",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI01794400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.