Keith Alan Gaede, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302021381 Issued in MI

Practice address

6404 Western Ave
Glen Arbor, MI 49636

Phone

(231) 334-6608

NPI assigned

May 5, 2006

Last updated

Jul 13, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Prescription Shop of Glen Arbor, Inc

  • Durable Medical Equipment & Medical Supplies
  • Glen Arbor, MI
  • NPI 1134560345
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497703011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8992 PENINSULA DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496861561",
            "telephone_number": "231-995-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 WESTERN AVE",
            "city": "GLEN ARBOR",
            "state": "MI",
            "postal_code": "49636",
            "telephone_number": "231-334-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAEDE",
        "first_name": "KEITH",
        "middle_name": "ALAN",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302021381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cundiff, PT
• Mark Cundiff, PT
• Kiernan Mark Dean-Hall
• Enhanced Physical Therapy Incorporated
• Heather Marie Ford, LMSW
• Glen Arbor Township (Glen Lake Fire Department)
• Charles J Kinzel, PHARMACIST
• Jessica A Myers, D.C.
• Revive Chiropractic, PLLC
• The Prescription Shop of Glen Arbor, Inc

• Pharmacist in Glen Arbor, MI
• Providers in Glen Arbor, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.