Active NPI
Keith James Dahler, R.PH
- Pharmacist
- Jefferson City, MO
National Provider Identifier
1992072078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 029067
- Practice address
- 735 W Stadium Blvd
Jefferson City, MO 65109-4753 - Phone
- (573) 893-1079
- Fax
- (573) 893-1079
- NPI assigned
- Nov 17, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 029067 | MO | Primary |
Addresses
Primary practice location
735 W Stadium Blvd
Jefferson City, MO 65109-4753
Mailing address
735 W Stadium Blvd
Jefferson City, MO 65109-4753
Phone (573) 893-1079
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 |
|---|---|---|---|
| 029067 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321488000000",
"number": "1992072078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 W STADIUM BLVD",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651094753",
"telephone_number": "573-893-1079",
"fax_number": "573-893-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 W STADIUM BLVD",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651094753",
"telephone_number": "573-893-1079",
"fax_number": "573-893-1079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHLER",
"first_name": "KEITH",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "R.PH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-17",
"last_updated": "2011-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "029067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jefferson City, MO
- Curators of the University of Missouri
- Curators of the University of Missouri
- Curators of the University of Missouri
- Curators of the University of Missouri
- D C Holdings and Properties LLC
- Dalrich Oxygen Inc
- Matthew Randall Dampf, PT, DPT
- Daniel G. Teubner, D.D.S.,PC
- Daniel Opara
- Cole Jeremiah Darnel, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.