Eugene Affum Keteku

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH035052 Issued in GA

Practice address

145 Forest Blvd Ste 100
Dawsonville, GA 30534-7878

Phone

(706) 216-4225

NPI assigned

Aug 1, 2024

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

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.

• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Dawsonville, GA
  • NPI 1871046326
  NPD (past)

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1992534333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 FOREST BLVD STE 100",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305347878",
            "telephone_number": "706-216-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 FOREST BLVD STE 100",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305347878",
            "telephone_number": "706-216-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETEKU",
        "first_name": "EUGENE",
        "middle_name": "AFFUM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH035052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nabil Keith, MD
• Autumn Lee Keller, ATC, LAT
• Jacob Isaac Kelly, PT, DPT
• Michael Kenney, LCSW
• Jessica Kersey
• Jeung Hyoun Kim, OD
• Seung Yun Kim, MD
• Suzanne Kimmons-Doty, OD
• Robert C King, LCSW
• Anna Katherine Kinley, MSN, APRN, CPNP

• Pharmacist in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.