NPIMap

Organization Active NPI

Keller & Munro Inc

  • Community/Retail Pharmacy
  • Lock Haven, PA
National Provider Identifier
1497722128
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KELLER & MUNRO INC
Practice address
127 E Church St
Lock Haven, PA 17745-2007
Phone
(570) 748-5209
Fax
(570) 748-7390
NPI assigned
Mar 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Mr. Jeffrey Lee Packech, R.PH.NPI 1104936590
Title
President
Phone
(570) 748-5209

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
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

127 E Church St
Lock Haven, PA 17745-2007

Mailing address

127 E Church St
Lock Haven, PA 17745-2007
Phone (570) 748-5209

Other identifiers 2

IdentifierTypeStateIssuer
0012414660002MedicaidPA
3919226OtherPANABP #

National Provider Directory

National Provider Directory

Locations

127 E Church St
Lock Haven, PA 17745
Phone (570) 748-5209

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1497722128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E CHURCH ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177452007",
            "telephone_number": "570-748-5209",
            "fax_number": "570-748-7390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E CHURCH ST",
            "city": "LOCK HAVEN",
            "state": "PA",
            "postal_code": "177452007",
            "telephone_number": "570-748-5209",
            "fax_number": "570-748-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLER & MUNRO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "PACKECH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-748-5209",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012414660002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP #",
            "identifier": "3919226",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lock Haven, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.