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Fulton Keagle, RPH

Pharmacist in Cheektowaga, NY. Individual provider (NPI-1).

NPI number1679804173
StatusActive
Last updated in NPPESJan 22, 2010

Details

NPI
1679804173
Entity type
Individual (NPI-1)
Name
Fulton Keagle
Credential
RPH
Sex
Male
Sole proprietor
No
Enumeration date
Jan 22, 2010
Last updated
Jan 22, 2010

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist029223NYYes

Practice location

2355 Union Rd
Cheektowaga, NY 14227-2234

Phone 716-631-2433

Mailing address

33 Ponderosa Ct
Orchard Park, NY 14127-2070

Phone 716-667-3631

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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