Keith Medernach

Pharmacist · Geneva, IL

Individual Active NPI

NPI number 1083995849

Practice location

2100 W State St
Geneva, IL 60134-3693
Phone
(630) 262-0970

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NPI record

NPI
1083995849
Entity type
Individual (Type 1)
Enumeration date
September 7, 2011
Last updated
September 7, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051041084 IL

About Keith Medernach

Keith Medernach is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 2100 W State St, Geneva, IL 60134-3693. The NPI number 1083995849 was assigned on September 7, 2011 and the record was last updated on September 7, 2011.

Keith Medernach lists a license in the registry: #051041084 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Keith Medernach?

The NPI number is 1083995849.

What is the phone number of Keith Medernach?

The phone number listed for the practice location is (630) 262-0970.

Where is Keith Medernach located?

2100 W State St, Geneva, IL 60134-3693.

What is the taxonomy code for Keith Medernach?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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