Provider Demographics
NPI:1144932443
Name:O'KEEFE, STEVEN CHRISTOPHER JAMES (PHARMACIST)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:CHRISTOPHER JAMES
Last Name:O'KEEFE
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:942 SMOKERISE BLVD
Mailing Address - Street 2:
Mailing Address - City:PORT ORANGE
Mailing Address - State:FL
Mailing Address - Zip Code:32127-7940
Mailing Address - Country:US
Mailing Address - Phone:386-334-0495
Mailing Address - Fax:
Practice Address - Street 1:942 SMOKERISE BLVD
Practice Address - Street 2:
Practice Address - City:PORT ORANGE
Practice Address - State:FL
Practice Address - Zip Code:32127-7940
Practice Address - Country:US
Practice Address - Phone:386-334-0495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS651821835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist