Active NPI
Keith Skok
- Pharmacist
- Brookpark, OH
National Provider Identifier
1710641717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14501
- Practice address
- 14650 Snow Rd
Brookpark, OH 44142-2461 - Phone
- (216) 267-0404
- NPI assigned
- Oct 26, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 14501 | OH | Primary |
Addresses
Primary practice location
14650 Snow Rd
Brookpark, OH 44142-2461
Mailing address
6507 Lares LN
Middleburg Heights, OH 44130-2697
Phone (216) 339-6178
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 |
|---|---|---|---|
| 14501 | OH | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1710641717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6507 LARES LN",
"city": "MIDDLEBURG HEIGHTS",
"state": "OH",
"postal_code": "441302697",
"telephone_number": "216-339-6178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14650 SNOW RD",
"city": "BROOKPARK",
"state": "OH",
"postal_code": "441422461",
"telephone_number": "216-267-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKOK",
"first_name": "KEITH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-26",
"last_updated": "2021-10-26",
"certification_date": "2021-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "14501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookpark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.