Keith Lincoln Keller, M.D., R.PH.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

145651-1701 Issued in UT

Practice address

IHS Pine Ridge Service Unit
Hwy 18
Pine Ridge, SD 57770

Phone

(605) 867-3195

NPI assigned

Apr 13, 2011

Last updated

Apr 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1477843282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 203",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "577700203",
            "telephone_number": "402-238-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IHS PINE RIDGE SERVICE UNIT",
            "address_2": "HWY 18",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "57770",
            "telephone_number": "605-867-3195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "IHS NORTH 107-202",
            "address_purpose": "LOCATION",
            "city": "PINE RIDGE",
            "state": "SD",
            "postal_code": "57770",
            "country_code": "US",
            "telephone_number": "402-238-4913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "KEITH",
        "middle_name": "LINCOLN",
        "name_prefix": "Dr.",
        "credential": "M.D., R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-13",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CO",
            "license": "11551",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NE",
            "license": "10573",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "16677",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "UT",
            "license": "145651-1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Janis, RN
• Brenda Mae Johnson, APRN
• Mary Kathryn Jones, RN
• Peter I Juve, PHARMD
• Christopher Harris Keck, PHARMD
• Debra Lacey, RN
• Tenecia Dawn Lancaster, FNP-BC
• Damien Eric Lawhorn, RDH
• Wendi S Lewin
• Siyue Li, PHARMD.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Pine Ridge, SD
• Providers in Pine Ridge, SD by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.