Keiths Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

52423 Issued in CA

Legal business name

KEITHS PHARMACY LLC

Practice address

875 Redwood Dr
Garberville, CA 95542-3106

Phone

(707) 923-2461

Fax

(707) 923-4038

NPI assigned

Sep 23, 2005

Organization subpart

No

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

Authorized official

Name

Keith Lorang

Title

Pic/Owner

Phone

(707) 923-2461

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• KEITHS PHARMACY LLC Doing business as

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1841286903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 REDWOOD DR",
            "city": "GARBERVILLE",
            "state": "CA",
            "postal_code": "955423106",
            "telephone_number": "707-923-2461",
            "fax_number": "707-923-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 REDWOOD DR",
            "city": "GARBERVILLE",
            "state": "CA",
            "postal_code": "955423106",
            "telephone_number": "707-923-2461",
            "fax_number": "707-923-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITHS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "LORANG",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "PIC/OWNER",
        "authorized_official_telephone_number": "707-923-2461"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "52423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2151412",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KEITHS PHARMACY LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jane Douglas Hollis, PHARM.D.
• Tara Huff, MSW
• Humboldt County Behavioral Health
• Humboldt Radiology Medical Group Inc
• Keith'S Parmacy LLC
• Teri A Kolder, MASSAGE THERAPIST
• Lewis Jay Lester, L.C.S.W.
• Linda Lowe, MFT
• Marcin Matuszkiewicz, MD
• Elizabeth McKey, M.A., L.M.F.T.

• Community/Retail Pharmacy in Garberville, CA
• Providers in Garberville, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.