Thomas A Keefe, RPH
Individual provider Active NPI Pharmacist · City of Spokane Valley, WA
NPI 1952835779 · NPPES record last updated Apr 18, 2017
Key facts
- NPI
- 1952835779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PH00010749 (WA)
- Practice address
- 14922 E 24TH Ave
City of Spokane Valley, WA 99037-9358 - Phone
- (509) 998-1921
- NPI assigned
- Apr 18, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH00010749 | WA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00010749 | WA | Yes |
Addresses
Primary practice location
14922 E 24TH Ave
City of Spokane Valley, WA 99037-9358
Mailing address
14922 E 24TH Ave
City of Spokane Valley, WA 99037-9358
Phone (509) 998-1921
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.