Individual provider Active NPI

Kenneth Wilson Keever, PHARM D., CGP

  • Geriatric Pharmacist
  • High Point, NC
National Provider Identifier
1386971828
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric PharmacistTaxonomy code 1835G0303X
License
6580 Issued in NC
Practice address
4204 Oak Hollow Dr
High Point, NC 27265-9651
Phone
(336) 307-3507
NPI assigned
Nov 4, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Pharmacist 1835G0303X 6580 NC Primary
Geriatric Pharmacist 1835G0303X 0202206785 VA

Addresses

Primary practice location

4204 Oak Hollow Dr
High Point, NC 27265-9651

Mailing address

4204 Oak Hollow Dr
High Point, NC 27265-9651
Phone (336) 307-3507

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
6580NCMDGeriatric Pharmacist
0202206785VAMDGeriatric Pharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1386971828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 OAK HOLLOW DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659651",
            "telephone_number": "336-307-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 OAK HOLLOW DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659651",
            "telephone_number": "336-307-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEVER",
        "first_name": "KENNETH",
        "middle_name": "WILSON",
        "name_prefix": "Dr.",
        "credential": "PHARM D., CGP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-04",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "NC",
            "license": "6580",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "VA",
            "license": "0202206785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.