Active NPI
Cecelia Rose O'Keefe, PHARMD
- Pharmacist
- Rogers, AR
National Provider Identifier
1518275569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PDP13909
- Practice address
- 1749 W Walnut St
Rogers, AR 72756-3323 - Phone
- (910) 441-9842
- NPI assigned
- Sep 23, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17877 | NC | |
| Pharmacist | 183500000X | RP038410L | PA | |
| Pharmacist | 183500000X | PDP13909 | AR | Primary |
Addresses
Primary practice location
1749 W Walnut St
Rogers, AR 72756-3323
Mailing address
1749 W Walnut St
Rogers, AR 72756-3323
Phone (910) 441-9842
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0315275 | Medicaid | NC | |
| 380456365 | Other | NC | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Rogers | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PDP13909 | AR | MD | Pharmacist |
| RP038410L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1518275569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1749 W WALNUT ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563323",
"telephone_number": "910-441-9842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1749 W WALNUT ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563323",
"telephone_number": "910-441-9842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'KEEFE",
"first_name": "CECELIA",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-23",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "17877",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP038410L",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PDP13909",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0315275",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "380456365",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Rogers",
"affiliation": "N",
"endpointDescription": "CVS",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1749 W Walnut St",
"city": "Rogers",
"state": "AR",
"country_code": "US",
"postal_code": "727563323",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.