Active NPI
Keith Chastain, PHARM.D
- Pharmacist
- Sulphur Springs, TX
National Provider Identifier
1740932847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48012
- Practice address
- 1750 S Broadway St
Sulphur Springs, TX 75482-4902 - Phone
- (903) 885-1578
- NPI assigned
- Jan 20, 2022
- Last updated
- Jan 20, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13785 | OK | |
| Pharmacist | 183500000X | 48012 | TX | Primary |
Addresses
Primary practice location
1750 S Broadway St
Sulphur Springs, TX 75482-4902
Mailing address
1750 S Broadway St
Sulphur Springs, TX 75482-4902
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 |
|---|---|---|---|
| 13785 | OK | MD | Pharmacist |
| 48012 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1740932847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 S BROADWAY ST",
"city": "SULPHUR SPRINGS",
"state": "TX",
"postal_code": "754824902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 S BROADWAY ST",
"city": "SULPHUR SPRINGS",
"state": "TX",
"postal_code": "754824902",
"telephone_number": "903-885-1578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASTAIN",
"first_name": "KEITH",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-20",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "13785",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "48012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sulphur Springs, TX
- Caremore Medical Supply LLC
- Tammy Carrell, LAT, ATC, MS
- Barbara Ann Carson
- Kevin W Caton, CRNA
- Selena Cervantez-Aranda
- Sadie Elizabeth Chester
- Ashley Nicole Chevalier
- Child & Family Therapy Center
- Adrian Denise Childress, PA-C
- Christus Hopkins Health Alliance (Christus Mother Frances - Sulphur Springs)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.