Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790448033 Individual Practitioner Male Practitioner

Dr. Kyle Keenum , PharmD

Pharmacist • Altus, OK

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Keenum, PharmD is a registered healthcare professional specializing in Pharmacist in Altus, OK. Practice services are available at 2101 N MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2101 N Main St

Altus, OK 735211605

Telephone 5804770381
Associated Practice Facility / Clinic
🏢 Rexco Drug Of Altus Inc Facility NPI 1346319837

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Altus, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
18 Specialists

Practicing in Altus, OK (3455 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-10-13
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OK 14574

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Pharmacist License
14574 (OK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1043973324

Doctor of Pharmacy (Pharm.D.)

NPI 1184723199
NPI 1528721818

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 13, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2021

Registered at 2101 N MAIN ST, ALTUS, OK 735211605 (Tel: 5804770381)

📍
Updated Business Mailing Address October 13, 2021

Registered at 2101 N MAIN ST, ALTUS, OK 735211605 (Tel: 5804770381)

👤
Provider Name / Credentials Updated October 13, 2021

Recorded as KYLE KEENUM, PHARM D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2021

Pharmacist (License #14574 in OK)

🟢
Initial NPI Registration & Enumeration October 13, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790448033
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2021
Last Update: October 13, 2021
Sole Proprietor: No

Mailing Address

2101 N Main St

Altus, OK 735211605

Phone: 5804770381

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.