Oliver Alderman McKeithan IV, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

049484 Issued in NY

Practice address

100 N Main St
Suite L05 Hendersons Drug II
Elmira, NY 14901

Phone

(607) 271-9794

Fax

(607) 271-9315

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982704037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR1 BOX 54A",
            "city": "MILAN",
            "state": "PA",
            "postal_code": "188319720",
            "telephone_number": "570-596-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "address_2": "SUITE L05 HENDERSONS DRUG II",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "14901",
            "telephone_number": "607-271-9794",
            "fax_number": "607-271-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEITHAN",
        "first_name": "OLIVER",
        "middle_name": "ALDERMAN",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "049484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry Dale McHenry II, DO
• Ellen Margaret McHugh, MD
• Elizabeth R McIlwain, LMSW
• Stephanie Michele McIlwain
• Douglas Denton McKane, M.D.
• Suzanne McKendrick
• Georgianna E McKenzie
• Denise Marie McKerrow, COTA
• Alice Jane McKinzie, DO
• Jillian Test McLaughlin

• Pharmacist in Elmira, NY
• Providers in Elmira, NY by specialty
• Pharmacist in New York

• 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.

Verify at the official NPI Registry.