Active NPI
Michael Keeney, PHARMD, RPH
- Pharmacist
- Appleton, WI
National Provider Identifier
1730003252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21391-40
- Practice address
- 700 W Wisconsin Ave
Appleton, WI 54914-3511 - Phone
- (920) 991-1190
- NPI assigned
- Aug 6, 2026
- Sex
- Male
- 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 | 21391-40 | WI | Primary |
Addresses
Primary practice location
700 W Wisconsin Ave
Appleton, WI 54914-3511
Mailing address
700 W Wisconsin Ave
Appleton, WI 54914-3511
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin CVS Pharmacy LLC | Past | Accepting new patients | |
| Wisconsin CVS Pharmacy LLC | 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": "1785974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1730003252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 W WISCONSIN AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549143511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 W WISCONSIN AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549143511",
"telephone_number": "920-991-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENEY",
"first_name": "MICHAEL",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-06",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "21391-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.