Active NPI
Donald Matson Keiser III, RPH
- Pharmacist
- Greensboro, GA
National Provider Identifier
1821575176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH030694
- Practice address
- 6380 Lake Oconee Parkway
Greensboro, GA 30642 - Phone
- (706) 454-7150
- NPI assigned
- Jul 19, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH030694 | GA | Primary |
Addresses
Primary practice location
6380 Lake Oconee Parkway
Greensboro, GA 30642
Mailing address
139 N Main St
Maxeys, GA 30671
Phone (706) 424-3484
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH030694 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531958400000",
"number": "1821575176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 N MAIN ST",
"city": "MAXEYS",
"state": "GA",
"postal_code": "30671",
"telephone_number": "706-424-3484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6380 LAKE OCONEE PARKWAY",
"city": "GREENSBORO",
"state": "GA",
"postal_code": "30642",
"telephone_number": "706-454-7150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEISER",
"first_name": "DONALD",
"middle_name": "MATSON",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-19",
"last_updated": "2018-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH030694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.