MAXX RITCHIE KEIZER


Address: 2960 Tongass Ave, Ketchikan, AK 99901-5742
Phone: 9072284900

MAXX RITCHIE KEIZER (NPI# 1073177424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073177424
Entity Type Individual
Full Name MAXX RITCHIE KEIZER
Credential PHARMD
Practice Address 2960 Tongass Ave
Ketchikan
AK 99901-5742
Mailing Address 2215 First Ave Apt A
Ketchikan
AK 99901-5972
Practice Telephone 9072284900
Enumeration Date 2019-04-30
Last Update Date 2019-04-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 124922 AK Pharmacy Service Providers
N 1835P2201X Pharmacist
Specialization: Ambulatory Care
124922 AK Pharmacy Service Providers

Office Location

Street Address 2960 TONGASS AVE
City KETCHIKAN
State AK
Zip Code 99901-5742

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154315109 Kathryn Lynn Price Family Medicine 2960 Tongass Ave, Ketchikan, AK 99901-5742 2005-09-06
1427668300 Morgan Wayne Holmes Dentist 2960 Tongass Ave, Ketchikan, AK 99901-5742 2020-08-05
1043763824 Ying Kwok Dentist 2960 Tongass Ave, Ketchikan, AK 99901-5742 2016-07-28
1780036491 Andrea A. Lui Family Medicine 2960 Tongass Ave, Ketchikan, AK 99901-5742 2016-07-06
1912370347 Pamela Lee Rogers Nurse Practitioner 2960 Tongass Ave, Ketchikan, AK 99901-5742 2015-11-06
1356745723 Megan Hanifin Counselor 2960 Tongass Ave, Ketchikan, AK 99901-5742 2014-10-14
1396153649 Ketchikan Indian Corporation Clinic/Center 2960 Tongass Ave, Ketchikan, AK 99901-5742 2014-07-31
1427460997 Gerry Balluta Case Manager/Care Coordinator 2960 Tongass Ave, Ketchikan, AK 99901-5742 2014-06-02
1447670393 Kristin Santroch Dentist 2960 Tongass Ave, Ketchikan, AK 99901 2014-04-18
1477989804 Charles David Valadez Jr. Psychologist 2960 Tongass Ave, Ketchikan, AK 99901-5742 2013-09-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992314215 Residential Youth Care, Inc. Community/Behavioral Health 2442 Tongass Avenue, Ketchikan, AK 99901 2020-07-23
1316563026 Residential Youth Care, Inc. Community/Behavioral Health 606 Hill Road, Ketchikan, AK 99901 2020-06-18
1043836851 Residential Youth Care, Inc. Community/Behavioral Health 2514 1st Avenue, Ketchikan, AK 99901 2020-06-18
1215553029 Residential Youth Care, Inc. Community/Behavioral Health 2951 Baranof Avenue, Ketchikan, AK 99901 2020-06-18
1174159222 Helene Rae Simpson Behavior Technician 201 Deermont St, Ketchikan, AK 99901 2020-03-20
1003295155 Suzanne Webb Massage Therapist 602 Dock St Ste 106, Ketchikan, AK 99901 2015-05-22
1093194342 Kate Mortensen Case Manager/Care Coordinator 2690 Tongass Ave, Ketchikan, AK 99901 2015-05-20
1578879631 Thomas Peter Ryan Social Worker 320 Bawden St. #318, Ketchikan, AK 99901 2010-08-27
1689820979 Akeela Inc Community Based Residential Treatment Facility, Mental Illness 3050 Fifth Ave, Ketchikan, AK 99901 2008-08-18
1750565438 Susan Marie Swift Nurse Practitioner 21 Jefferson Way, Suite 202, Psychiatry, Ketchikan, AK 99901 2007-12-18
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073110235 Kalli Kline Pharmacist 3526 Tongass Ave, Ketchikan, AK 99901-5635 2020-10-01
1942816095 Stephanie Lynn Hackett Pharmacist 2417 Tongass Ave, Ketchikan, AK 99901-5900 2020-09-23
1396393567 Nancy Bright Pharmacist 3526 Tongass Ave, Ketchikan, AK 99901-5635 2019-08-29
1790337103 Barry Delano Christensen Pharmacist 3526 Tongass Ave, Ketchikan, AK 99901-5635 2019-07-15
1235693722 Danielle Steepe Pharmacist 4230 Don King Rd, Ketchikan, AK 99901-9047 2019-01-29
1629550629 Kevin Peter Hornbarger Pharmacist 2417 Tongass Ave, Ketchikan, AK 99901-5900 2018-09-05
1457830846 Robert Henry Hopkins Pharmacist 2417 Tongass Ave, Ketchikan, AK 99901-5900 2018-08-07
1255857702 Torrie Jayne Wolery Pharmacist 3526 Tongass Ave, Ketchikan, AK 99901-5635 2017-08-16
1255888665 Ken Schramm Pharmacist 4230 Don King Rd, Ketchikan, AK 99901-9047 2016-09-01
1083067276 Jacob Pignone Pharmacist 2417 Tongass Ave, Ketchikan, AK 99901-5900 2016-07-22
Find all providers in KETCHIKAN

Competitor

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City KETCHIKAN
Zip Code 99901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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