Active NPI
Daniel Patrick Keilman
- Pharmacist
- Goldsboro, NC
National Provider Identifier
1386936888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24624
- Practice address
- 2203 Wayne Memorial Dr
Goldsboro, NC 27534-1723 - Phone
- (919) 731-7105
- Fax
- (919) 734-5517
- NPI assigned
- May 3, 2011
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24624 | NC | Primary |
| Pharmacist | 183500000X | PH60156213 | WA | |
| Pharmacist | 183500000X | 15756 | NV | |
| Pharmacist | 183500000X | RP446512 | PA |
Addresses
Primary practice location
2203 Wayne Memorial Dr
Goldsboro, NC 27534-1723
Mailing address
2203 Wayne Memorial Dr
Goldsboro, NC 27534-1723
Phone (919) 731-7105
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24624 | NC | MD | Pharmacist |
| RP446512 | PA | MD | Pharmacist |
| PH60156213 | WA | MD | Pharmacist |
| 15756 | NV | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437436800000",
"number": "1386936888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2203 WAYNE MEMORIAL DR",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275341723",
"telephone_number": "919-731-7105",
"fax_number": "919-734-5517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2203 WAYNE MEMORIAL DR",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275341723",
"telephone_number": "919-731-7105",
"fax_number": "919-734-5517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEILMAN",
"first_name": "DANIEL",
"middle_name": "PATRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-03",
"last_updated": "2015-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "24624",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60156213",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "15756",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP446512",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.