Keymed Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

44701LS Issued in ID

Legal business name

KEYMED INC

Practice address

3607 Pole Line Rd
Pocatello, ID 83201-5531

Phone

(208) 233-2444

Fax

(208) 233-3439

NPI assigned

Jun 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Mills

Title

President

Phone

(208) 233-2444

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Snake River Long Term Care Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in ID3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Crafts Armstrong, PHARMD

  • Geriatric Pharmacist
  • Pocatello, ID
  • NPI 1629417720
  NPD (past)
• Cheyanne Jane Williams, PHARMD

  • Pharmacist
  • Pocatello, ID
  • NPI 1659855450
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1487698171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 POLE LINE RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015531",
            "telephone_number": "208-233-2444",
            "fax_number": "208-233-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3607 POLE LINE RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015531",
            "telephone_number": "208-233-2444",
            "fax_number": "208-233-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYMED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-233-2444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "ID",
            "license": "1901LS",
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "ID",
            "license": "44701LS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807012000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snake River Long Term Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Snake River Long Term Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caroline J Kerr, M.S., CCC-A
• Darcy Cameron Kerr, L.D. (LICENSED DENTU
• Patti Ann Kerscher
• Naeha Keshav
• Key Performance and Wellness LLC
• Keymed, Inc
• Kezele Anesthetics, P.C.
• Jenifer J. Kidd, BS
• Moon Joo Kim, MD
• Kimberly B Rasmussen, PLLC

• Long Term Care Pharmacy in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Long Term Care Pharmacy in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.