CHARLES DYLAN KEVERYN PHARMD
NPI 1104499243
Pharmacist in Jackson, MS

Q: What is Charles Keveryn's NPI number?

The NPI number for Charles Keveryn is 1104499243. It was assigned to this individual provider in the NPPES registry on July 16, 2021.

Q: What is Charles Keveryn's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Keveryn was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 16, 2021

2500 N STATE ST, JACKSON, MS 39216(601) 984-1000 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2023, Jan 23, 2023, May 24, 2022 and 1 more (4 updates tracked since 2021).

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About Charles Dylan Keveryn Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES DYLAN KEVERYN PHARMD (NPI 1104499243) is an individual pharmacist in Jackson, Mississippi, licensed in Mississippi (E-100206) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1104499243

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameCHARLES DYLAN KEVERYNCredential: PHARMD

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address810 Bridgeport DrMadison, MS 39110-9610

Phone(601) 984-1000

Sole ProprietorNo

Enumeration DateJuly 16, 2021

Last NPPES UpdateNovember 13, 20234 updates tracked since enumeration

NPPES CertifiedNovember 13, 2023

✔ NPI 1104499243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in MS · E-100206

Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 1

OtherE-100206MS · Pharmacy License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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