Individual provider Active NPI

George Howard Keefe Jr., RPH

  • Pharmacist
  • No Muskegon, MI
National Provider Identifier
1386735876
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302020260 Issued in MI
Practice address
1900 Ruddiman Dr
No Muskegon, MI 49445-3033
Phone
(231) 744-4718
Fax
(231) 744-5574
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

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

LicenseStateTypeSpecialty
5302020260MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthchek LLC Past Accepting new patients
Hometown Pharmacy Inc Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302020260 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

1900 Ruddiman Dr
No Muskegon, MI 49445-3033

Mailing address

1315 Ruddiman Dr
No Muskegon, MI 49445-3033
Phone (231) 744-7533

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386735876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 RUDDIMAN DR",
            "city": "NO MUSKEGON",
            "state": "MI",
            "postal_code": "494453033",
            "telephone_number": "231-744-7533",
            "fax_number": "231-744-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 RUDDIMAN DR",
            "city": "NO MUSKEGON",
            "state": "MI",
            "postal_code": "494453033",
            "telephone_number": "231-744-4718",
            "fax_number": "231-744-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFE",
        "first_name": "GEORGE",
        "middle_name": "HOWARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302020260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.

Verify at the official NPI Registry.