John David Keegan Jr., R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP030100L Issued in PA

Practice address

475 S Poplar St
Hazleton, PA 18201-7732

Phone

(570) 454-8748

Fax

(570) 455-1113

NPI assigned

Jan 27, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• John D Keegan

  • Community/Retail Pharmacy
  • Hazleton, PA
  • NPI 1982692679
  NPD Authorized official

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305244800000",
    "number": "1598811895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 S POPLAR ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182017732",
            "telephone_number": "570-454-8748",
            "fax_number": "570-455-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 S POPLAR ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182017732",
            "telephone_number": "570-454-8748",
            "fax_number": "570-455-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEGAN",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2011-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP030100L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008817820001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3944851",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph C Lauricella
• Jude F. Sidari, M.D., PC
• Samuel Kaminsky, D.D.S.
• Lawrence Kansky, DPM
• Laurie D Karahoca, CRNP
• Anna Khodzhayeva-Mariano, DMD
• Haein Kil, D.M.D
• Linda Rose Kistler, MA ATR-BC
• Julie Klinger
• Maci Klock

• Pharmacist in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.