Emily Rose Keith, PHARMD
Individual provider Active NPI Pharmacist · Beulaville, NC
NPI 1477078129 · NPPES record last updated Oct 5, 2019
Key facts
- NPI
- 1477078129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 72780 (NC)
- Practice address
- 115 W Main St
Beulaville, NC 28518 - Phone
- (102) 989-1729
- Fax
- (910) 298-9950
- NPI assigned
- Aug 3, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27280 | NC | MD | Pharmacist |
| 72780 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Locations
115 W Main St
Beulaville, NC 28518
Phone (910) 298-9172
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 27280 | NC | |
| Pharmacist | 183500000X | 72780 | NC | Yes |
Addresses
Primary practice location
115 W Main St
Beulaville, NC 28518
Mailing address
115 W Main St
Beulaville, NC 28518-8803
Phone (910) 298-9172
Other practice location 1
359 Western Blvd
Jacksonville, NC 28546-6347
Phone (910) 355-7056
Other practice location 2
115 W Main St
Beulaville, NC 28518
Phone (102) 989-1729
Other providers in Beulaville, NC
- Jennifer Rose Jones
- Kendra K. Jones
- Michael B. Jones
- Robert Jones
- Ellen K Juzba
- Billy Gene Kennedy
- Jennifer Kennedy
- Tina B Kennedy
- Kerr Drug Inc
- Kurt Eric Kildow
All providers in Beulaville, NC · Pharmacist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.