Wanda J Keahey, PHARMD, MPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

08417 Issued in MS

Practice address

3029 Lilly St
Jackson, MS 39213-7246

Phone

(601) 668-8525

NPI assigned

May 28, 2010

Sex

Female

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

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1598084618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4973",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392964973",
            "telephone_number": "601-668-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 LILLY ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392137246",
            "telephone_number": "601-668-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEAHEY",
        "first_name": "WANDA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHARMD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "MS",
            "license": "08417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Katz
• Brady Nicole Kaucic
• Mandeep Kaur
• Dana Dillistone Kazery, M.D.
• Samiksha KC, PCMHT
• Ryan Thomas Kearney, DDS
• Linda Cresswell Keeling, NP
• Max Howard Keeling
• Britiani Keen, FNP-C
• James E Keeton, MD

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Jackson, MS
• Providers in Jackson, MS by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.