Active NPI
Keyon Lamar Hodges
- Pharmacy Technician
- Belle Glade, FL
National Provider Identifier
1780934299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- RPT36741
- Practice address
- 636 Southeast 1St
Belle Glade, FL 33430 - Phone
- (617) 710-3158
- NPI assigned
- Sep 12, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Driver | 172A00000X | 201253779 | FL | |
| Pharmacy Technician | 183700000X | RPT36741 | FL | Primary |
Addresses
Primary practice location
636 Southeast 1St
Belle Glade, FL 33430
Mailing address
636 SE 1St St
Belle Glade, FL 33430
Phone (617) 710-3158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3416L0300X | Other | FL | LAND TRANSPORT MEDICAL COURIER |
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 |
|---|---|---|---|
| 201253779 | FL | MD | Driver |
| RPT36741 | FL | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1780934299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "636 SE 1ST ST",
"city": "BELLE GLADE",
"state": "FL",
"postal_code": "33430",
"telephone_number": "617-710-3158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 SOUTHEAST 1ST",
"city": "BELLE GLADE",
"state": "FL",
"postal_code": "33430",
"telephone_number": "617-710-3158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "KEYON",
"middle_name": "LAMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-12",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "FL",
"license": "201253779",
"primary": false
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "FL",
"license": "RPT36741",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LAND TRANSPORT MEDICAL COURIER",
"identifier": "3416L0300X",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belle Glade, FL
- Martin Tracy Harland, D.O.
- Kimala Aleisha Harris, DO
- Health & Wellness Chiropractic Centers of South Florida Inc.
- Health Care District of Palm Beach County
- Health Testing Solutions, Inc.
- Holiday CVS LLC
- Amber Hughes, ARNP
- I Care Community Connections LLC
- Juan Jose Ibietatorremendia, RPH
- Yousef Idies, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.