Timothy Eugene Keller, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR5978 Issued in ME

Practice address

600 Roundwood Dr
Walgreens District Office
Scarborough, ME 04074-8259

Phone

(207) 885-9365

Fax

(207) 885-9367

NPI assigned

Aug 31, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1578844817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ROUNDWOOD DR",
            "address_2": "WALGREENS DISTRICT OFFICE",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748259",
            "telephone_number": "207-885-9365",
            "fax_number": "207-885-9367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROUNDWOOD DR",
            "address_2": "WALGREENS DISTRICT OFFICE",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748259",
            "telephone_number": "207-885-9365",
            "fax_number": "207-885-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "TIMOTHY",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR5978",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "13519",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "R2226",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP046449R",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A10002793",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.294479",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "PA",
            "license": "RPI1001735",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadav Lelkes Kastle, M.D.
• Kristyn Michelle Kee, FNP-C
• Andrew Keibel, MD
• Robert B Keller, MD
• Sarah Keller, FNP-C
• Mirle A Kellett, M.D.
• Lindsey Kelley, MS, CGC
• Liana Belle Kelly, FNP
• Sarah E. Kelsik, LCSW
• Nicole B. Keniston

• Pharmacist in Scarborough, ME
• Providers in Scarborough, ME by specialty
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.