Active NPI
Magdeline Barbara Keller Clemens, RPH
- Pharmacist
- Elizabeth City, NC
National Provider Identifier
1952519282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17838
- Practice address
- 1144 N Road St
Albemarle Hospital
Elizabeth City, NC 27909-3353 - Phone
- (252) 384-4642
- NPI assigned
- May 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03216460 | OH | |
| Pharmacist | 183500000X | A10002155 | DE | |
| Pharmacist | 183500000X | 0202009940 | VA | |
| Pharmacist | 183500000X | 17838 | NC | Primary |
Addresses
Primary practice location
1144 N Road St
Albemarle Hospital
Elizabeth City, NC 27909-3353
Mailing address
137 Elizabeth Cir
Moyock, NC 27958-9594
Phone (252) 232-0444
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 |
|---|---|---|---|
| A10002155 | DE | MD | Pharmacist |
| 17838 | NC | MD | Pharmacist |
| 03216460 | OH | MD | Pharmacist |
| 0202009940 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952519282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 ELIZABETH CIR",
"city": "MOYOCK",
"state": "NC",
"postal_code": "279589594",
"telephone_number": "252-232-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1144 N ROAD ST",
"address_2": "ALBEMARLE HOSPITAL",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093353",
"telephone_number": "252-384-4642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLER CLEMENS",
"first_name": "MAGDELINE",
"middle_name": "BARBARA",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03216460",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A10002155",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202009940",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "17838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth City, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.