MR. KENNETH GERALD KEENER (NPI# 1326133174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326133174 |
| Entity Type | Individual |
| Full Name | MR. KENNETH GERALD KEENER |
| Credential | RPH |
| Practice Address |
5625 Water Tower Pl Suite 101 Clarkston MI 48346-2671 |
| Practice Telephone | 2486251215 |
| Practice Fax Number | 2486204258 |
| Mailing Telephone | 2486251215 |
| Mailing Fax Number | 2486204258 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302021895 | MI | Pharmacy Service Providers |
| Street Address |
5625 WATER TOWER PL SUITE 101 |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346-2671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326093964 | Regional Cardiology Associates, P.l.c. | Internal Medicine | 5625 Water Tower Pl, Clarkston, MI 48346-2671 | 2006-05-23 |
| 1255833992 | Nicole Hosler | Nurse Practitioner | 5625 Water Tower Pl, Clarkston, MI 48346-2671 | 2018-03-07 |
| 1548438724 | Pine Knob Pharmacy #2 | Durable Medical Equipment & Medical Supplies | 5625 Water Tower Pl, Suite 101, Clarkston, MI 48346-2671 | 2008-02-11 |
| 1811039191 | Women's Integrated Health Care, P.C. | Obstetrics & Gynecology | 5625 Water Tower Pl, Ste 200, Clarkston, MI 48346-2671 | 2007-02-13 |
| 1063510089 | James A Harrill | Physician Assistant | 5625 Water Tower Pl, Clarkston, MI 48346-2671 | 2006-09-21 |
| 1609984608 | Pain Management Centers PC | Clinic/Center | 5625 Water Tower Pl, Suite 220, Clarkston, MI 48346-2671 | 2006-08-29 |
| 1881702892 | Ashraf I Khan | Pain Medicine | 5625 Water Tower Pl, Suite 220, Clarkston, MI 48346-2671 | 2006-08-29 |
| 1275641631 | Pine Knob Pharmacy 2 Inc | Pharmacy | 5625 Water Tower Pl, Clarkston, MI 48346-2671 | 2006-08-27 |
| 1750327771 | Clarkston Health Center | Radiology | 5625 Water Tower Pl, Suite G-33, Clarkston, MI 48346-2671 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| Find all providers in zip 48346 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548782840 | Joshua Wonjoon Yang | Pharmacist | 5635 Parview Dr Apt 112, Clarkston, MI 48346-2847 | 2017-07-09 |
| 1003348608 | Cathy Steward Hruska | Pharmacist | 7651 Somerhill Ln, Clarkston, MI 48348-4382 | 2017-04-01 |
| 1063965143 | Bertukan Worku Demas | Pharmacist | 3671 Cobble Mill Ln, Clarkston, GA 30021 | 2016-07-26 |
| 1184090284 | Tammy Tran | Pharmacist | 5317 Greenview Dr, Clarkston, MI 48348-3718 | 2015-08-12 |
| 1326456351 | David Nygren | Pharmacist | 506 5th St, Clarkston, WA 99403 | 2014-07-22 |
| 1861837486 | Suleman Daya | Pharmacist | 926 Montreal Rd Ste 2, Clarkston, GA 30021-1399 | 2013-05-09 |
| 1447577549 | John Fisher Barrett | Pharmacist | 4810 Fox Crk E, Apt 180, Clarkston, MI 48346-4938 | 2010-04-28 |
| 1447493598 | Nishant Patel | Pharmacist | 5789 S Main St, Clarkston, MI 48346-2959 | 2009-04-18 |
| 1184836587 | Joseph William Karasek | Pharmacist | 7210 N Main St Ste 102, Clarkston, MI 48346-1575 | 2007-05-06 |
| 1548326911 | George Stehpen Didur | Pharmacist | 5751 Clarkston Rd, Clarkston, MI 48348 | 2006-12-29 |
| Find all providers in CLARKSTON | ||||
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| 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.