Active NPI
Matt Keim
- Pharmacist
- Monett, MO
National Provider Identifier
1770114738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2013042216
- Practice address
- 100 Chapel Dr Ste a
Monett, MO 65708-9378 - Phone
- (417) 635-1100
- NPI assigned
- Jan 29, 2020
- Last updated
- Jan 29, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2013042216 | MO | Primary |
Addresses
Primary practice location
100 Chapel Dr Ste a
Monett, MO 65708-9378
Mailing address
100 Chapel Dr Ste a
Monett, MO 65708-9378
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013042216 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1770114738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CHAPEL DR STE A",
"city": "MONETT",
"state": "MO",
"postal_code": "657089378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CHAPEL DR STE A",
"city": "MONETT",
"state": "MO",
"postal_code": "657089378",
"telephone_number": "417-635-1100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEIM",
"first_name": "MATT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-01-29",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2013042216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.