Ryan Blake Keller, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202206188 Issued in VA

Practice address

1650 Murfreesboro Rd Ste 130
Franklin, TN 37067-5095

Phone

(615) 814-2911

NPI assigned

May 21, 2020

Last updated

May 21, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1457974701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 MURFREESBORO RD STE 130",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675095",
            "telephone_number": "615-814-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 MURFREESBORO RD STE 130",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370675095",
            "telephone_number": "615-814-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "RYAN",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "0000042496",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202206188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith - Mindcare Solutions of Nevada, PC
• Keith-Mindcare Solutions of Nevada PC
• Nicole Keith, RN
• Thomas Ashley Keith Jr., CSFA
• Maegan Neufeldt Keller
• Mark C Kelley, MD
• Mason Kelley, ATC/L
• Megan Elizabeth Kelley
• Ethan Kellum, MD
• Kelly Fisk Counseling, LLC

• Pharmacist in Franklin, TN
• Providers in Franklin, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.