Jean-Arnaud Mamoudou Jose Keita, PHARM.D., RPH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202214735 Issued in VA

Practice address

10 Riverton Commons Dr
Front Royal, VA 22630-6718

Phone

(540) 635-7712

NPI assigned

Oct 29, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1821698705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PALISADES CIR APT 1225",
            "city": "MANASSAS PARK",
            "state": "VA",
            "postal_code": "201118058",
            "telephone_number": "703-870-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RIVERTON COMMONS DR",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226306718",
            "telephone_number": "540-635-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITA",
        "first_name": "JEAN-ARNAUD",
        "middle_name": "MAMOUDOU JOSE",
        "credential": "PHARM.D., RPH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202214735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vineeta Vijay Kanbur, M.D.
• Colleen E Karn, PT
• Yasmin Kashwaa, MD
• Yevgeny Kats, D.P.M.
• Jenna Kazmaier, DPT
• Rachel J Kelliher-Sanders, DO
• Melissa Angeline Keltner, PT
• Timothy Michael Kennedy
• Sandra Lee Kenney, LPN
• Brandace L Kerns, CPRS

• Pharmacist in Front Royal, VA
• Providers in Front Royal, VA by specialty
• Pharmacist in Virginia

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

Verify at the official NPI Registry.