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Keith A Mckinniss , RPH

Pharmacist β€’ Logan, OH

Active NPI 1780678060 Individual Practitioner Male Practitioner
Practice location in NPPES

30381 Chieftain Dr
Logan, OH 431389092

Call 7403853120 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

30381 Chieftain Dr

Logan, OH 431389092

Telephone 7403853120
Organization at the Same NPPES Address or Phone
Hopewell Health Centers, Inc Facility NPI 1568970333

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Jackson, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Logan and Ohio

21 active clinicians are listed under Pharmacist with a practice address in Logan, OH (10,836 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Logan

0% of these 21 clinicians have the CMS telehealth indicator.

0% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-05-10
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES OH 03-1-24661

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.

Pharmacist

NUCC Taxonomy Code: 183500000X

License # reported to NPPES OH 03124661

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Secondary Practice Locations

500 Burlington Rd

Jackson, OH 456409360

Phone: 7403958364

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Gabrielle Bates

Social Worker

NPI 1417455577
Amy Black , CNP

Nurse Practitioner - Family

NPI 1033424148

Certified Nurse Practitioner

Dr. Douglas Carr , MD

Family Medicine

NPI 1912909219

Doctor of Medicine (M.D.)

Laurel Danes-Webb , RN, MS, CNP

Nurse Practitioner - Family

NPI 1447252358

Registered Nurse, Master of Science, Certified Nurse Practitioner

John Hart , NP-C

Nurse Practitioner

NPI 1871089748

Nurse Practitioner (Certified)

Bethany Jagers , CNP

Nurse Practitioner - Family

NPI 1184626889

Certified Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location May 10, 2021

Registered at 30381 CHIEFTAIN DR, LOGAN, OH 431389092 (Tel: 7403853120)

πŸ“
Updated Business Mailing Address May 10, 2021

Registered at 30381 CHIEFTAIN DR, LOGAN, OH 431389092 (Tel: 7403853120)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 500 BURLINGTON RD, JACKSON, OH 456409360 (Tel: 7403958364)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 73047 STATE ROUTE 124, VINTON, OH 456868556 (Tel: 7406691415)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as KEITH MCKINNISS, RPH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (license number reported to NPPES: OH 03-1-24661)

🟒
Initial NPI Registration & Enumeration September 01, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780678060
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2005
Last Update: May 10, 2021
Sole Proprietor: No

Mailing Address

30381 Chieftain Dr

Logan, OH 431389092

Phone: 7403853120

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.