Individual provider Active NPI

Keith Michael Wire, RPH

  • Pharmacist
  • Athens, OH
National Provider Identifier
1902566771
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03217369 Issued in OH
Practice address
75 Hospital Dr Ste 130
Athens, OH 45701-2858
Phone
(740) 992-4108
Fax
(740) 992-5244
NPI assigned
Dec 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03217369 OH Primary

Addresses

Primary practice location

75 Hospital Dr Ste 130
Athens, OH 45701-2858

Mailing address

75 Hospital Dr Ste 130
Athens, OH 45701-2858
Phone (740) 992-4108

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://thedrugstoreatobleness.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
03217369OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1902566771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HOSPITAL DR STE 130",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012858",
            "telephone_number": "740-992-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HOSPITAL DR STE 130",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012858",
            "telephone_number": "740-992-4108",
            "fax_number": "740-992-5244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRE",
        "first_name": "KEITH",
        "middle_name": "MICHAEL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03217369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://thedrugstoreatobleness.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "75 Hospital Dr Ste 130",
            "city": "Athens",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457012858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.