Active NPI
Jenna Elaine Keister, PHARM.D.
- Pharmacist
- Phoenix, AZ
National Provider Identifier
1770203853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S026014
- Practice address
- 2302 N Central Ave Ste 7
Phoenix, AZ 85004-1332 - Phone
- (602) 313-2042
- Fax
- (602) 313-2044
- NPI assigned
- Aug 30, 2022
- Last updated
- Aug 30, 2022
- 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 | S026014 | AZ | Primary |
Addresses
Primary practice location
2302 N Central Ave Ste 7
Phoenix, AZ 85004-1332
Mailing address
280 S Evergreen Rd Unit 1390
Tempe, AZ 85288-5093
Phone (623) 866-2664
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 |
|---|---|---|---|
| S026014 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2302 N Central Ave
Ste 7
Phoenix, AZ 85004
Phone (602) 313-2042
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1770203853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 S EVERGREEN RD UNIT 1390",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852885093",
"telephone_number": "623-866-2664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 N CENTRAL AVE STE 7",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041332",
"telephone_number": "602-313-2042",
"fax_number": "602-313-2044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEISTER",
"first_name": "JENNA",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-30",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S026014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.