John D Keegan

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP410030L Issued in PA

Legal business name

JOHN D KEEGAN

Doing business as

Hegihts Terrace Pharmacy

Practice address

475 S Poplar St
Hazleton, PA 18201-7732

Phone

(570) 454-8748

Fax

(570) 455-1113

NPI assigned

Oct 7, 2005

Organization subpart

No

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

Authorized official

Name

Mr. John David Keegan, R.PH.NPI 1598811895

Title

Owner/Pharmacist

Phone

(570) 454-8748

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hegihts Terrace Pharmacy Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John David Keegan Jr., R.PH.

  • Pharmacist
  • Hazleton, PA
  • NPI 1598811895
  NPD Authorized official

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1982692679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 S POPLAR ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182017732",
            "telephone_number": "570-454-8748",
            "fax_number": "570-455-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 S POPLAR ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182017732",
            "telephone_number": "570-454-8748",
            "fax_number": "570-455-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D KEEGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "KEEGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "570-454-8748",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410030L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008817820001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hegihts Terrace Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James P. McAvoy, O.D.,P.C. (Eye World)
• Russell James, MD
• Jang Jang
• Minkyung Jeon
• John Capparell & Connie Mallozzi
• John P Degenhart
• Johnsons Clinical Services LLC
• Johnsons Pharmacy of Hazleton Inc
• Johnsons Pharmacy of Hazleton Inc
• Gregory Jones, PA

• Community/Retail Pharmacy in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.