Active NPI
Anna M Keaton, PHARM D
- Pharmacist
- Ballwin, MO
National Provider Identifier
1417247867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2000154899
- Practice address
- 15945 Clayton Road
Suite 140
Ballwin, MO 63011-2146 - Phone
- (636) 256-5111
- Fax
- (636) 256-5196
- NPI assigned
- Apr 19, 2011
- Sex
- Female
- 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 | 2000154899 | MO | Primary |
Addresses
Primary practice location
15945 Clayton Road
Suite 140
Ballwin, MO 63011-2146
Mailing address
15945 Clayton Road
Suite 140
Ballwin, MO 63011-2146
Phone (636) 256-5111
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2000154899 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303171200000",
"number": "1417247867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15945 CLAYTON ROAD",
"address_2": "SUITE 140",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630112146",
"telephone_number": "636-256-5111",
"fax_number": "636-256-5196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15945 CLAYTON ROAD",
"address_2": "SUITE 140",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630112146",
"telephone_number": "636-256-5111",
"fax_number": "636-256-5196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEATON",
"first_name": "ANNA",
"middle_name": "M",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-19",
"last_updated": "2011-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2000154899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ballwin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.