Individual provider Active NPI

Scott Patrick Keillor, PHARMD

  • Pharmacist
  • Columbia City, IN
National Provider Identifier
1780230466
Registry record updated Aug 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26025177A Issued in IN
Practice address
286 W Walker Way
Columbia City, IN 46725-1336
Phone
(260) 244-3113
Fax
(260) 248-4267
NPI assigned
Aug 17, 2019
Last updated
Aug 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26025177A IN Primary

Addresses

Primary practice location

286 W Walker Way
Columbia City, IN 46725-1336

Mailing address

286 W Walker Way
Columbia City, IN 46725-1336
Phone (260) 244-3113

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

LicenseStateTypeSpecialty
26025177AINMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1566000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566000000000",
    "number": "1780230466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 W WALKER WAY",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251336",
            "telephone_number": "260-244-3113",
            "fax_number": "260-248-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 W WALKER WAY",
            "city": "COLUMBIA CITY",
            "state": "IN",
            "postal_code": "467251336",
            "telephone_number": "260-244-3113",
            "fax_number": "260-248-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEILLOR",
        "first_name": "SCOTT",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-17",
        "last_updated": "2019-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26025177A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2019; 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.