CMS-1500 Box 24J / 33a • NPI
1689275901
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
183500000X
Licensed & Credentialed Pharmacist
Box 32 Service Location & ZIP+4
101 W US HIGHWAY 60, MOUNTAIN VIEW, MO, 65548-8542
✓ 9-Digit EDI 837 ZIP+4 (65548-8542)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1689275901 (KEITH WAYNE DAVID, Rph) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1689275901 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | KEITH WAYNE DAVID, Rph |
| Plain-English Specialty | Licensed & Credentialed Pharmacist NUCC Code: 183500000X (Pharmacist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 101 W US HIGHWAY 60, MOUNTAIN VIEW, MO, 65548-8542 |
| Practice Telephone / Fax | Tel: (417) 934-2212 |
| Administrative Mailing Address | 1270 FOX CIR, MOUNTAIN VIEW, MO, 65548-7391 |
| Enumeration & Last Sync | Enumerated: 2020-11-03 | CMS Record Updated: 2020-11-03 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (183500000X)
What Does Taxonomy Code 183500000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 183500000X translates to:
"Licensed & Credentialed Pharmacist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (KEITH WAYNE DAVID, Rph)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
183500000X — PharmacistPlain English: Licensed & Credentialed Pharmacist | State: MO | License: 040142 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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