Keith Wayne David, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

040142 Issued in MO

Practice address

101 W US Highway 60
Mountain View, MO 65548-8542

Phone

(417) 934-2212

NPI assigned

Nov 3, 2020

Last updated

Nov 3, 2020By the provider in NPPES

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

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wal-Mart Stores East LP

  dba Walmart Pharmacy 100871

  • Community/Retail Pharmacy
  • Mountain View, MO
  • NPI 1902824485
  NPD (past)

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1689275901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 FOX CIR",
            "city": "MOUNTAIN VIEW",
            "state": "MO",
            "postal_code": "655487391",
            "telephone_number": "417-247-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W US HIGHWAY 60",
            "city": "MOUNTAIN VIEW",
            "state": "MO",
            "postal_code": "655488542",
            "telephone_number": "417-934-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "KEITH",
        "middle_name": "WAYNE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "040142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Keith Bowden, DDS
• Kent Boydstun II, MD
• Ernesto L Carampatan, MD
• Jerald Duane Chaffin, M.D.
• Laura Clark, FNP
• Shamuel Meyerovich Day, MD, MPH
• Beverly J. Denton, FNP-C
• Don Andrew Dodd, DPT
• Julie Denise Dunn, LPC
• Michael K. Gaddy, PA-C

• Pharmacist in Mountain View, MO
• Providers in Mountain View, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.