Active NPI
James P Keegan, RPH
- Pharmacist
- Corona, NY
National Provider Identifier
1912189135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 039749
- Practice address
- 4502 108TH St
Corona, NY 11368-2917 - Phone
- (718) 847-1982
- Fax
- (718) 228-4985
- NPI assigned
- Nov 29, 2007
- 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 | 039749 | NY | Primary |
Addresses
Primary practice location
4502 108TH St
Corona, NY 11368-2917
Mailing address
21 Haight St
Deer Park, NY 11729-3113
Phone (631) 601-9279
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01484871 | Medicaid | NY |
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 |
|---|---|---|---|
| 039749 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R & T Pharmacy Corp | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764115200000",
"number": "1912189135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 HAIGHT ST",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117293113",
"telephone_number": "631-601-9279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 108TH ST",
"city": "CORONA",
"state": "NY",
"postal_code": "113682917",
"telephone_number": "718-847-1982",
"fax_number": "718-228-4985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEGAN",
"first_name": "JAMES",
"middle_name": "P",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-29",
"last_updated": "2025-11-26",
"certification_date": "2025-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "039749",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01484871",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.