MR. JIM C KEENUM JR. (NPI# 1922129808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922129808 |
| Entity Type | Individual |
| Full Name | MR. JIM C KEENUM JR. |
| Credential | RPH |
| Practice Address |
702 E Highway 278 Byp Piedmont AL 36272-1456 |
| Mailing Address |
176 Hood Rd Rainbow City AL 35906-8991 |
| Practice Telephone | 2564477779 |
| Practice Fax Number | 2564476054 |
| Mailing Telephone | 2564424339 |
| Mailing Fax Number | 2564424339 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 6917 | AL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | PHARMACY LICENSE | 6917 | 01 |
| Street Address |
702 E HIGHWAY 278 BYP |
| City | PIEDMONT |
| State | AL |
| Zip Code | 36272-1456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477664688 | J & A Pharmacy Inc of Piedmont | Pharmacy | 702 E Highway 278 Byp, Piedmont, AL 36272 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598056541 | Jenny Cain Williamson | Pharmacist | 702 Hwy 278 Bypass E, Piedmont, AL 36272 | 2011-04-26 |
| 1154442523 | Shannon W Ivey | Pharmacist | 702 Highway 278 East Bypass, Piedmont, AL 36272 | 2007-04-03 |
| 1073665097 | Amy Charlotte Mccurdy | Chiropractor | 212 Rome Ave, Piedmont, AL 36272 | 2007-01-18 |
| 1538238936 | Piedmont Emergency Rescue | Ambulance | 121 W Ladiga St, Piedmont, AL 36272 | 2006-11-07 |
| 1689777328 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 145 Us Hwy 278 E By Pass, Piedmont, AL 36272 | 2006-09-07 |
| 1679751994 | Marsha Smith Law | Social Worker | 202 Merrimac Dr, Piedmont, AL 36272-1027 | 2008-02-08 |
| 1366649568 | Piedmont City | Local Education Agency (LEA) | 502 W Hood St, Piedmont, AL 36272-1530 | 2007-06-29 |
| 1255814851 | Revonda Kiser Pruitt | Speech-Language Pathologist | 502 W Hood St, Piedmont, AL 36272-1530 | 2018-09-10 |
| 1356971865 | Victoria Lynn Donaldson | Student in an Organized Health Care Education/Training Program | 501 N Main St, Piedmont, AL 36272-1535 | 2020-01-23 |
| 1376539536 | Benjamin B Ingram | Dentist | 207 Rome Ave, Piedmont, AL 36272-1919 | 2005-09-23 |
| Find all providers in zip 36272 | ||||
| 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 |
|---|---|---|---|---|
| 1699305912 | Divine Kulu | Pharmacist | 11705 Nw 136th Ter, Piedmont, OK 73078-8775 | 2020-01-26 |
| 1720431604 | Judith Lee | Pharmacist | 400 Pala Ave, Piedmont, CA 94611-3745 | 2016-07-15 |
| 1356790240 | Roberta Davis | Pharmacist | 13924 Nw Expressway, Piedmont, OK 73078-9475 | 2016-06-10 |
| 1285068387 | Talisha Payne Ratliff | Pharmacist | 7401 Augusta Rd, Piedmont, SC 29673-9506 | 2013-08-26 |
| 1528308533 | Lily Lee | Pharmacist | 330 Highland Ave, Piedmont, CA 94611-4041 | 2013-02-27 |
| 1497004311 | Robyn Deann Bailey | Pharmacist | 3460 Hwy 153, Piedmont, SC 29673 | 2012-09-06 |
| 1114276003 | Charity W Speed | Pharmacist | 7501 Augusta Road, Piedmont, SC 29673 | 2012-09-06 |
| 1104108224 | Laura J Weber | Pharmacist | 1046 Lincoln Ave Nw, Piedmont, OK 73078-8034 | 2011-09-14 |
| 1598056541 | Jenny Cain Williamson | Pharmacist | 702 Hwy 278 Bypass E, Piedmont, AL 36272 | 2011-04-26 |
| 1154442523 | Shannon W Ivey | Pharmacist | 702 Highway 278 East Bypass, Piedmont, AL 36272 | 2007-04-03 |
| Find all providers in PIEDMONT | ||||
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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.