Paula Ann Keller

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP037555L Issued in PA

Practice address

3430 Route 940 Ste 102
Mount Pocono, PA 18344-1189

Phone

(570) 839-5340

NPI assigned

Dec 12, 2020

Last updated

Dec 12, 2020By the provider in NPPES

Sex

Female

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

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.

• Braceys Supermarket Inc Moosic

  dba ShopRite Pharmacy of Birney Avenue

  • Community/Retail Pharmacy
  • Moosic, PA
  • NPI 1437742624
  NPD
• Bracey's Mount Pocono, Inc.

  dba Bill's Shoprite Pharmacy Mt. Pocono

  • Community/Retail Pharmacy
  • Mount Pocono, PA
  • NPI 1851476949
  NPD (past)

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

{
    "created_epoch": "1607731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607731200000",
    "number": "1730775917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 FAIRVIEW RD",
            "city": "SCOTT TOWNSHIP",
            "state": "PA",
            "postal_code": "184119205",
            "telephone_number": "570-955-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 ROUTE 940 STE 102",
            "city": "MOUNT POCONO",
            "state": "PA",
            "postal_code": "183441189",
            "telephone_number": "570-839-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "PAULA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-12",
        "last_updated": "2020-12-12",
        "certification_date": "2020-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP037555L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Shakhawat Hossain, MD
• Michelle Ierovante
• Jeffrey Jerome Jordan, R.PH.
• Rebecca Elizabeth Kashuba, LCSW
• Alexandra Judith Kay, MA, ATR-BC
• Kidspeace Children's Hospital, Inc.
• Kidspeace Children's Hospital, Inc.
• Bu Jung Kim, MD
• Jillian Knecht, LPC
• Matthew R. Kozma, D.O.

• Pharmacist in Mount Pocono, PA
• Providers in Mount Pocono, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.