Active NPI
Deborah Keaveny, RPH
- Pharmacist
- Winsted, MN
National Provider Identifier
1720556459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 115503
- Practice address
- 150 Main Ave W
Winsted, MN 55395-7872 - Phone
- (320) 485-2555
- NPI assigned
- Nov 12, 2018
- Last updated
- Nov 12, 2018
- Sex
- Female
- 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 | 115503 | MN | Primary |
Addresses
Primary practice location
150 Main Ave W
Winsted, MN 55395-7872
Mailing address
PO Box 910
Winsted, MN 55395-0910
Phone (320) 485-2555
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
| License | State | Type | Specialty |
|---|---|---|---|
| 115503 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keaveny Drug Inc | Current | Accepting new patients | |
| Keaveny Drug Inc | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Long Term Care Pharmacy
- Winsted, MN
- NPI 1174092746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541980800000",
"number": "1720556459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 910",
"city": "WINSTED",
"state": "MN",
"postal_code": "553950910",
"telephone_number": "320-485-2555",
"fax_number": "320-485-4266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MAIN AVE W",
"city": "WINSTED",
"state": "MN",
"postal_code": "553957872",
"telephone_number": "320-485-2555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEAVENY",
"first_name": "DEBORAH",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-12",
"last_updated": "2018-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "115503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winsted, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.