Active NPI
Dajen Runge Keefer Williams, PHARMD
- Pharmacist
- Huntersville, NC
National Provider Identifier
1720314388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16729
- Practice address
- 9848 Gilead Rd
Huntersville, NC 28078-7511 - Phone
- (704) 948-7237
- NPI assigned
- Nov 2, 2009
- Sex
- Female
- 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 | 16729 | NC | Primary |
Addresses
Primary practice location
9848 Gilead Rd
Huntersville, NC 28078-7511
Mailing address
9848 Gilead Rd
Huntersville, NC 28078-7511
Phone (704) 948-7237
Other names 1
- Dajen Runge Keefer
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16729 | NC | 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": "1257120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257120000000",
"number": "1720314388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9848 GILEAD RD",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280787511",
"telephone_number": "704-948-7237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9848 GILEAD RD",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280787511",
"telephone_number": "704-948-7237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEFER WILLIAMS",
"first_name": "DAJEN",
"middle_name": "RUNGE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-02",
"last_updated": "2009-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "16729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAJEN",
"last_name": "KEEFER",
"middle_name": "RUNGE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.