KEOMOUKDA RAJAVONG RPH
NPI 1326934498
Pharmacist in Philadelphia, PA

Active since June 16, 2025
1501 N BROAD ST, PHILADELPHIA, PA 19122(215) 235-4000(267) 324-5875 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keomoukda Rajavong Rph NPPES

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

KEOMOUKDA RAJAVONG RPH (NPI 1326934498) is an individual pharmacist in Philadelphia, Pennsylvania, licensed in Pennsylvania (RP039891L) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1326934498
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameKEOMOUKDA RAJAVONGCredential: RPH
Location Address1501 N BROAD STPhiladelphia, PA 19122-3319
Mailing Address142 S 52nd St Ste 201Philadelphia, PA 19139-3409 · (215) 471-4000 · Fax (215) 471-4001
Fax(267) 324-5875
Sole ProprietorYes
Enumeration DateJune 16, 2025
NPPES CertifiedJune 16, 2025
NPI 1326934498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in PA · RP039891L
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.
1501 N BROAD ST, Philadelphia, PA 19122

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner
1501 N BROAD ST
PHILADELPHIA, PA 19122
Nurse Practitioner (Family)
1501 N BROAD ST
PHILADELPHIA, PA 19122
Chiropractor
1501 N BROAD ST
PHILADELPHIA, PA 19122
Chiropractor
1501 N BROAD ST, 17
PHILADELPHIA, PA 19122
Chiropractor (Rehabilitation)
1501 N BROAD ST
PHILADELPHIA, PA 19122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keomoukda Rajavong's NPI number?

The NPI number for Keomoukda Rajavong is 1326934498. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Where is Keomoukda Rajavong located?

Keomoukda Rajavong practices at 1501 N Broad St, Philadelphia, PA 19122. The listed phone number is (215) 235-4000.

What is Keomoukda Rajavong's specialty?

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

When was this NPI record last updated?

The NPPES record for Keomoukda Rajavong was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.