Active NPI
Joe Porter Keeter
- Pharmacist
- Duncan, OK
National Provider Identifier
1629352232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9464
- Practice address
- 1100 N Hwy 81
Duncan, OK 73533 - Phone
- (580) 252-2375
- NPI assigned
- Sep 30, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 9464 | OK | Primary |
Addresses
Primary practice location
1100 N Hwy 81
Duncan, OK 73533
Mailing address
1101 Peach
Waurkia, OK 73573
Phone (580) 228-2766
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9464 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1629352232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 PEACH",
"city": "WAURKIA",
"state": "OK",
"postal_code": "73573",
"telephone_number": "580-228-2766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 N HWY 81",
"city": "DUNCAN",
"state": "OK",
"postal_code": "73533",
"telephone_number": "580-252-2375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEETER",
"first_name": "JOE",
"middle_name": "PORTER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-30",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "9464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duncan, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.