Dr David Ketchum Ii, PHARMD is a
Pharmacist based in Hayti, Missouri. Dr David Ketchum Ii is licensed to practice in Missouri (license number 045243) and his current practice location is
946 E Reed St, Hayti, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 359-1372.
NPI number for Dr David Ketchum Ii is 1265602544 and his current mailing address is 715 Andrea Dr, Dyersburg, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265602544.
Healthcare Provider's Profile
| Full Name | Dr David Ketchum Ii |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
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| Location | 946 E Reed St, Hayti, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1265602544
- Provider Enumeration Date: 03/03/2008
- Last Update Date: 02/22/2013
Medical Identifiers
Medical identifiers for Dr David Ketchum Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265602544 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 045243 (Missouri) | Primary |
| 1835P1200X | Pharmacist - Pharmacotherapy | 045243 (Missouri) | Secondary |
| 183500000X | Pharmacist | 10463 (Tennessee) | Secondary |
| 1835P1200X | Pharmacist - Pharmacotherapy | 10463 (Tennessee) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr David Ketchum Ii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr David Ketchum Ii, PHARMD
715 Andrea Dr,
Dyersburg, TN 38024-7195
Ph: (573) 359-1372 | Dr David Ketchum Ii, PHARMD
946 E Reed St,
Hayti, MO 63851-1243
Ph: (573) 359-1372 |
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