Active NPI
Robert J Keehner, RPH
- Pharmacist
- Sheridan, OR
National Provider Identifier
1932441482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0007991
- Practice address
- 103 E Main St
Sheridan, OR 97378-1828 - Phone
- (503) 843-2422
- Fax
- (360) 213-2238
- NPI assigned
- Mar 22, 2013
- 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 | RPH-0007991 | OR | Primary |
Addresses
Primary practice location
103 E Main St
Sheridan, OR 97378-1828
Mailing address
916 W Evergreen Blvd
Vancouver, WA 98660-3035
Phone (360) 213-2236
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH-0007991-P | Other | OR | PHARMACY PRECEPTOR LICENSE |
| RPH-0007991 | Other | OR | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| RPH-0007991 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Pharmacy, Inc | Past | Accepting new patients | |
| Sheridan Pharmacy, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pharmacy
- Sheridan, OR
- NPI 1003837980
-
- Community/Retail Pharmacy
- Sheridan, OR
- NPI 1023181849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363910400000",
"number": "1932441482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 W EVERGREEN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986603035",
"telephone_number": "360-213-2236",
"fax_number": "360-213-2238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 E MAIN ST",
"city": "SHERIDAN",
"state": "OR",
"postal_code": "973781828",
"telephone_number": "503-843-2422",
"fax_number": "360-213-2238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEHNER",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-22",
"last_updated": "2013-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0007991",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY PRECEPTOR LICENSE",
"identifier": "RPH-0007991-P",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "RPH-0007991",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sheridan, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.