DR. JEFFERY DEAN KEITH JR. (NPI# 1831580273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831580273 |
| Entity Type | Individual |
| Full Name | DR. JEFFERY DEAN KEITH JR. |
| Credential | PHARM.D. |
| Practice Address |
200 Paseo Terraza Unit 205 St Augustine FL 32095-8877 |
| Practice Telephone | 3863150349 |
| Mailing Telephone | 3863150349 |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS52872 | FL | Pharmacy Service Providers |
| Street Address |
200 PASEO TERRAZA UNIT 205 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32095-8877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124299201 | Dental Health Group PC | Dentist | 159 Palencia Village Drive, Ste 109, St. Augustine, FL 32095 | 2008-03-18 |
| 1932259405 | Thomas E Stakem | Dentist | 7175-01 U.S. Highway 17 South, Green Cove Springs, FL 32095 | 2007-01-10 |
| 1942390265 | Antonia Fuller | Registered Nurse | 354 Paseo Reyes Drive, Saint Augustine, FL 32095 | 2006-10-15 |
| 1740223023 | First Choice Phcy Svcs LLC | Pharmacy | 110 Cumberland Dr #305, St Augustine, FL 32095 | 2006-06-14 |
| 1174029201 | Aba Connection, LLC | Early Intervention Provider Agency | 23 Sol Ct, St Augustine, FL 32095 | 2018-04-05 |
| 1457437584 | Stanley A Cohen | Psychiatry & Neurology | 354 Paseo Reyes Drive, St Augustine, FL 32095 | 2006-10-31 |
| 1548576150 | Vicki Glabb | Counselor | 260 Ash Breeze Cv, Saint Augustine, FL 32095-0045 | 2010-08-20 |
| 1245770742 | Linda Gillis | Nurse Practitioner | 143 Portada Dr, St Augustine, FL 32095-1634 | 2017-03-02 |
| 1659821767 | Margo Slovis | Physical Therapist | 244 Vale Dr, St Augustine, FL 32095-4832 | 2016-10-12 |
| 1851909360 | Mammography Partners LLC | Clinic/Center | 521 Costa Del Sol Dr, St Augustine, FL 32095-4868 | 2020-07-21 |
| Find all providers in zip 32095 | ||||
| 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 |
|---|---|---|---|---|
| 1194141119 | Dino Ajloni | Pharmacist | 4405 Sartillo Rd, St Augustine, FL 32095-5240 | 2014-03-14 |
| 1295162782 | Vincent C Pfab | Pharmacist | 549 Fox Hollow Ln, St Augustine, FL 32086-5402 | 2013-09-30 |
| 1649604182 | Kenneth E Good | Pharmacist | 101 S Ponce De Leon Blvd, St Augustine, FL 32084-4213 | 2013-08-31 |
| 1477890275 | William Anderson II | Pharmacist | 69 Valencia St, St Augustine, FL 32084-3541 | 2013-01-14 |
| 1699012641 | Stephen Ross Mayhood Jr. | Pharmacist | 4255 Us 1 S Ste 1, St Augustine, FL 32086-7000 | 2013-01-10 |
| 1376888156 | Jeffrey Lynn Humerick | Pharmacist | 3305 Woodbury Ct, St Augustine, FL 32086-5088 | 2012-12-04 |
| 1619259694 | Dennis R Sibley II | Pharmacist | 2801 N Ponce Deleon Blvd, St Augustine, FL 32084 | 2011-09-15 |
| 1477886224 | Brian N Kurz | Pharmacist | 5440 State Road 16, St Augustine, FL 32092 | 2009-09-11 |
| 1619114360 | Swarna L Pachigalla | Pharmacist | 3905 A1a S, St Augustine, FL 32080-6933 | 2009-01-17 |
| 1922289206 | James Viola | Pharmacist | 1246 Garrison Dr, St Augustine, FL 32092-1075 | 2007-11-15 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32095 |
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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.