Organization Active NPI

Keyes Pharmacy LLC

Doing business as Keyes Pharmacy

  • Community/Retail Pharmacy
  • Pampa, TX
National Provider Identifier
1477630895
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KEYES PHARMACY LLC
Doing business as
Keyes Pharmacy
Practice address
928 N Hobart St
Pampa, TX 79065-5204
Phone
(806) 669-1202
Fax
(806) 669-0957
NPI assigned
Nov 1, 2006
Last updated
Sep 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Mark Alton Land, PHARMDNPI 1467444760
Title
Owner - Sole Member
Phone
(806) 537-3034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary
Long Term Care Pharmacy 3336L0003X NU

Addresses

Primary practice location

928 N Hobart St
Pampa, TX 79065-5204

Mailing address

201 Main Street Box 1654
Panhandle, TX 79068
Phone (806) 537-3034

Other identifiers 1

IdentifierTypeStateIssuer
150218MedicaidTX

Other names 1

  • KEYES PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

928 N Hobart St
Pampa, TX 79065
Phone (806) 669-1202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1477630895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MAIN STREET BOX 1654",
            "city": "PANHANDLE",
            "state": "TX",
            "postal_code": "79068",
            "telephone_number": "806-537-3034",
            "fax_number": "806-537-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 N HOBART ST",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790655204",
            "telephone_number": "806-669-1202",
            "fax_number": "806-669-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYES PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "LAND",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALTON",
        "authorized_official_title_or_position": "OWNER - SOLE MEMBER",
        "authorized_official_telephone_number": "806-537-3034",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150218",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KEYES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KEYES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pampa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.