Individual provider Active NPI

Keegan Barhydt, RPH

  • Pharmacist
  • Ligonier, IN
National Provider Identifier
1659976629
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26020148A Issued in IN
Practice address
101 W US Highway 6
Ligonier, IN 46767-1732
Phone
(260) 894-4700
NPI assigned
Nov 30, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
26020148AINMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hook-Superx LLC PastSince Dec 6, 2020 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26020148A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

101 W US Highway 6
Ligonier, IN 46767-1732

Mailing address

101 W US Highway 6
Ligonier, IN 46767-1732

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 30, 2020.

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1659976629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W US HIGHWAY 6",
            "city": "LIGONIER",
            "state": "IN",
            "postal_code": "467671732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W US HIGHWAY 6",
            "city": "LIGONIER",
            "state": "IN",
            "postal_code": "467671732",
            "telephone_number": "260-894-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARHYDT",
        "first_name": "KEEGAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26020148A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ligonier, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.