Shelly Diane Keown, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH00014345 Issued in WA

Practice address

1225 E Sunset Dr Ste 110
Bellingham, WA 98226-3590

Phone

(360) 671-5041

Fax

(360) 676-1626

NPI assigned

Aug 6, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Bellingham, WA
  • NPI 1285743591
  NPD (past)
• Thrifty Payless Inc

  • Community/Retail Pharmacy
  • Winchester, CA
  • NPI 1437874062
  NPD (past)

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1972113736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 EDGEWATER LN",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641071",
            "telephone_number": "360-510-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E SUNSET DR STE 110",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982263590",
            "telephone_number": "360-671-5041",
            "fax_number": "360-676-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEOWN",
        "first_name": "SHELLY",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00014345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth D. Chovil, Licsw, MSW
• Lauren Kenney, CPC
• Elisabeth Karen Kenoyer, R.N., CRNFA
• Jaimie Suzanne Kenoyer, PTA
• Sheryl Marie Kent, MA
• Marisa Kerkvliet, MSCN
• Julia Kerl, M.A.
• Sharon S Kerlin, ARNP
• Jennifer Kerr, DPT
• Ashley Ann Kerzman-Harper

• Pharmacist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.