ANTHONY TODD KELLER (NPI# 1942509476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942509476 |
| Entity Type | Individual |
| Full Name | ANTHONY TODD KELLER |
| Credential | R.PH |
| Practice Address |
406 Washington St Ravenswood WV 26164-1706 |
| Mailing Address |
221 Cedar Crest Dr Ripley WV 25271-1601 |
| Practice Telephone | 3042734496 |
| Mailing Telephone | 3043725868 |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 6173 | WV | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376663690 | Anthony Edward Keller | Pharmacist | 600 Las Vegas Blvd S, Las Vegas, NV 89101-6637 | 2007-03-30 |
| 1720059694 | Anthony Williams Keller | Internal Medicine | 34800 Bob Wilson Dr, Nmcsd, Attn: Medical Staff Services, San Diego, CA 92134-1098 | 2006-01-30 |
| Street Address |
406 WASHINGTON ST |
| City | RAVENSWOOD |
| State | WV |
| Zip Code | 26164-1706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609391358 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 406 Washington St, Ravenswood, WV 26164-1706 | 2017-08-03 |
| 1730462128 | Marissa Kay Poorman | Pharmacist | 406 Washington St, Ravenswood, WV 26164-1706 | 2011-09-22 |
| 1285926717 | Kenneth Lee Kelps | Pharmacist | 406 Washington St, Ravenswood, WV 26164-1706 | 2011-05-02 |
| 1578862736 | Robin Norris | Pharmacist | 406 Washington St, Ravenswood, WV 26164-1706 | 2011-03-26 |
| 1326157652 | Rite Aid of West Virginia Inc | Durable Medical Equipment & Medical Supplies | 406 Washington St, Ravenswood, WV 26164-1706 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851787246 | First Settlement Physical Therapy | Physical Therapist | 240 Washington St, Ravenswood, WV 26164 | 2015-04-13 |
| 1467840975 | Gretchen Lynn Hammond | Nurse Practitioner | 859 Century Road, Ravenswood, WV 26164 | 2015-01-06 |
| 1780809095 | Emily Mccoy | Physical Therapy Assistant | 200 South Ritchie Ave, Ravenswood, WV 26164 | 2007-04-13 |
| 1427110717 | M A Zurita Hernando Ibrahim | Physical Therapist | 240 Washington Street, Ravenswood, WV 26164 | 2006-12-14 |
| 1770687121 | Helen Dee Rymer | Dentist | 707 Washington Street, Ravenswood, WV 26164 | 2006-09-07 |
| 1093723207 | Michael Joseph Witt | Family Medicine | Alcan Rolled Products, Century Road, Ravenswood, WV 26164 | 2006-08-03 |
| 1356793095 | Ashley M Matheny | Psychologist | 606 Washington St, Ravenswood, WV 26164 | 2016-07-06 |
| 1013039965 | Physical Therapy Providers Pllc | Clinic/Center | 240 Washington Street, Ravenswood, WV 26164 | 2007-04-04 |
| 1356403703 | Wirt County Health Services Association, Inc | Family Medicine | 606 Washington Street, Ravenswood, WV 26164 | 2006-12-14 |
| 1700320579 | Activate Healthcare - Constellium | Clinic/Center | 859 Century Road, Ravenswood, WV 26164-0068 | 2016-12-13 |
| Find all providers in zip 26164 | ||||
| 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 |
|---|---|---|---|---|
| 1992138762 | Krista Michelle Duncan | Pharmacist | 14 Wood St, Ravenswood, WV 26164-1023 | 2013-08-15 |
| 1730462128 | Marissa Kay Poorman | Pharmacist | 406 Washington St, Ravenswood, WV 26164-1706 | 2011-09-22 |
| 1386937985 | Rhonda Singleton Coberly | Pharmacist | 606 Washington St, Ravenswood, WV 26164-1730 | 2011-05-16 |
| 1285926717 | Kenneth Lee Kelps | Pharmacist | 406 Washington St, Ravenswood, WV 26164-1706 | 2011-05-02 |
| 1578862736 | Robin Norris | Pharmacist | 406 Washington St, Ravenswood, WV 26164-1706 | 2011-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194325894 | Amy Elizabeth Taylor | Pharmacist | 369 Scotts Fork Bonnie Road, Sutton, WV 26601 | 2020-10-30 |
| 1629678438 | David B Smith | Pharmacist | 369 Scotts Fork-bonnie Road, Sutton, WV 26601 | 2020-10-30 |
| 1952901605 | George Paul Munas IIi | Pharmacist | 5605 University Town Centre Dr # 3215, Morgantown, WV 26501-2473 | 2020-10-30 |
| 1104426568 | John Louis Putorek | Pharmacist | 176 Blueridge Ave, Princeton, WV 24740-4226 | 2020-10-27 |
| 1700486156 | Dylan Tomblin | Pharmacist | 100 Buckhannon Xrds, Buckhannon, WV 26201-8422 | 2020-10-27 |
| 1134729643 | Cassie Lynch | Pharmacist | 148 Walmart Dr, Keyser, WV 26726-1805 | 2020-10-26 |
| 1417557992 | Gregory Spencer Glover | Pharmacist | 1976 Jefferson St N, Lewisburg, WV 24901-2209 | 2020-10-26 |
| 1568061588 | Marcy Nicole Myerholtz | Pharmacist | 700 Northside Drive, Cvs Pharmacy, Summersville, WV 26651 | 2020-10-21 |
| 1215535208 | Robert Howard Taylor | Pharmacist | 1608 Earl Core Rd, Morgantown, WV 26505 | 2020-10-13 |
| 1518565845 | Anne Jiang | Pharmacist | 7000 Mid Atlantic Dr., Morgantown, WV 26508 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
| City | RAVENSWOOD |
| Zip Code | 26164 |
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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.