Keith William Provost, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

241094 Issued in MA

Practice address

299 Washington St
Westwood, MA 02090-1317

Phone

(781) 326-1906

Fax

(781) 326-0685

NPI assigned

Oct 14, 2022

Sex

Male

Sole proprietor

Yes

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

Doctor of Pharmacy

State licenses

Practice roles

Locations

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

• CVS Pharmacy Inc

  • Pharmacy
  • Westwood, MA
  • NPI 1477652840
  NPD
• CVS Pharmacy Inc

  • Pharmacy
  • Brockton, MA
  • NPI 1487753844
  NPD (past)
• CVS Pharmacy Inc

  • Pharmacy
  • Stafford, TX
  • NPI 1427931351
  NPD (past)

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720310400000",
    "number": "1578289229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 WASHINGTON ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020901317",
            "telephone_number": "781-326-1906",
            "fax_number": "781-326-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "299 WASHINGTON ST",
            "city": "WESTWOOD",
            "state": "MA",
            "postal_code": "020901317",
            "telephone_number": "781-326-1906",
            "fax_number": "781-326-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROVOST",
        "first_name": "KEITH",
        "middle_name": "WILLIAM",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-14",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "241094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premium Eye Care, PC
• Cathleen Price, CRNA
• Benjamin Prieur, CRNA
• Anthony J Procopio, CRNA
• Mary Ellen Provencher, LICSW
• Stephen Punzak, MD
• Thomas E Purcell, MD
• Christine Quinn, LMHC
• Dawn Quinn
• Jennifer Lynn Randall, MSW, LICSW

• Pharmacist in Westwood, MA
• Providers in Westwood, MA by specialty
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2024; 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.