DEBRA KAY KELLER (NPI# 1952675076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952675076 |
| Entity Type | Individual |
| Full Name | DEBRA KAY KELLER |
| Credential | RPH |
| Practice Address |
412 S Main Deer Park WA 99006 |
| Mailing Address |
Po Box 1589 Deer Park WA 99006-1589 |
| Practice Telephone | 5092769016 |
| Practice Fax Number | 5092768890 |
| Mailing Telephone | 5092769016 |
| Mailing Fax Number | 5092768890 |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH00018323 | WA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE PHARMACIST LICENSE | PH00018323 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851595318 | Debra Ann Keller | Licensed Practical Nurse | 703 10th Ave, E Northport, NY 11731-1725 | 2007-06-11 |
| 1841298908 | Debra Lynn Keller | Nurse Practitioner | 12502 Willowbrook Rd Ste 360, Cumberland, MD 21502 | 2005-07-13 |
| 1316944812 | Debra Roy Keller | Physician Assistant | 2655 Ridgeway Ave, Suite 180, Rochester, NY 14626-4296 | 2005-06-30 |
| 1568809143 | Debra A Keller | Community Health Worker | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | 2013-05-23 |
| 1427384338 | Debra Keller | Internal Medicine | 230 Golden Gate Ave, San Francisco, CA 94102-3706 | 2009-10-27 |
| 1942498829 | Debra E Keller | Occupational Therapy Assistant | 501 N Dixon St, Portland, OR 97227-1804 | 2007-10-04 |
| 1134315633 | Debra Helen Legg Keller | Counselor | 590 Pearl St, Monterey, CA 93940-3020 | 2007-09-18 |
| 1477589646 | Debra Achenbach Keller | Nurse Practitioner | 412 Devonia St, Harriman, TN 37748-2009 | 2006-06-22 |
| Street Address |
412 S MAIN |
| City | DEER PARK |
| State | WA |
| Zip Code | 99006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572892 | Deer Park Dental Pllc | Dentist | 118 E. Crawford St., Deer Park, WA 99006 | 2020-06-11 |
| 1124653464 | James Phelan | Optometrist | 14 N. Vernon Ave., Deer Park, WA 99006 | 2020-03-06 |
| 1336628841 | Shayla Michelle Simonson | Massage Therapist | West 114 South Avenue, Apt 4, Deer Park, WA 99006 | 2018-08-07 |
| 1710221494 | Lori Tetsuro Mcdonald | Hearing Instrument Specialist | 23 E Crawford St, Suite D, Deer Park, WA 99006 | 2012-11-19 |
| 1457661027 | Martha Joan Haney | Massage Therapist | W 110 Crawford, Suite J, Deer Park, WA 99006 | 2010-10-18 |
| 1487818324 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 412 S. Main Avenue, Deer Park, WA 99006 | 2008-07-10 |
| 1912104498 | Melissa Ann Mccollough | Massage Therapist | 20 East J Street Suite B, Deer Park, WA 99006 | 2007-06-28 |
| 1336368182 | Community Health Association of Spokane | Clinic/Center | 401 S Main Street, Deer Park, WA 99006 | 2007-04-24 |
| 1215153739 | Bates and Miller, Pllc, Dds | Clinic/Center | 20 E J Street, Suite 2b, Deer Park, WA 99006 | 2007-04-17 |
| 1184741936 | Ronald J Moore | Chiropractor | 206 W First Street, Suite G, Deer Park, WA 99006 | 2007-03-26 |
| Find all providers in zip 99006 | ||||
| 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 |
|---|---|---|---|---|
| 1669843314 | Marsha C Miller | Pharmacist | 39 W 20th St, Deer Park, NY 11729-3913 | 2015-10-07 |
| 1174879266 | Cher Eleanor Carbett | Pharmacist | 11 E H St Ste A, Deer Park, WA 99006-7178 | 2012-07-26 |
| 1740586973 | Simranjit Kaur | Pharmacist | 686 Nicolls Rd, Deer Park, NY 11729-2723 | 2011-02-05 |
| 1396074167 | Antoya Booker | Pharmacist | 3300 Center Street, Deer Park, TX 77583 | 2009-12-08 |
| 1710195730 | Garry Pfeffer | Pharmacist | 4937 S Swenson Rd, Deer Park, WA 99006-9465 | 2007-05-21 |
| 1285250969 | Melvin Eugene Black II | Pharmacist | 4090 E Galbraith Rd, Deer Park, OH 45236-2324 | 2020-06-18 |
| 1679198881 | Erin Delaney | Pharmacist | 4090 E Galbraith Rd, Deer Park, OH 45236 | 2020-06-12 |
| 1720629827 | Matthew John Porcaro | Pharmacist | 1770 Deer Park Ave, Deer Park, NY 11729-5203 | 2019-10-01 |
| 1467007963 | Daniel Kiang | Pharmacist | 4701 East Blvd, Deer Park, TX 77536-5404 | 2019-08-02 |
| 1346736774 | Asha Bhatt | Pharmacist | 4701 East Blvd, Deer Park, TX 77536-5404 | 2018-07-09 |
| Find all providers in DEER PARK | ||||
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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.