Keenum Pharmacy, LLC
Keenum Pharmacy, LLC is a healthcare organization registered as Community/Retail Pharmacy in Altus, OK, holding Type 2 (organization) NPI 1053924969 since 2020. The authorized official on file is Kyle Keenum, Pharmacy Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1053924969 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Keenum Pharmacy, LLC |
| Other name | <Unavail> |
| Practice address | 2101 N MAIN ST, Altus, OK, 73521 |
| Phone | 5804770381 |
| Fax | 5804771749 |
| Enumeration date | 2020-08-28 |
| Last updated in NPPES | 2021-10-11 |
Authorized official
| Name | Kyle Keenum |
|---|---|
| Title | Pharmacy Manager |
| Phone | 5804770381 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0004X | Compounding Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200956270A | Medicaid | OK | — |
Copy-ready billing details
Provider: Keenum Pharmacy, LLC NPI: 1053924969 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 2101 N MAIN ST, Altus, OK, 73521
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1346319837 | Rexco Drug of Altus Inc | Organization | Community/Retail Pharmacy | Altus, OK |
| 1790448033 | Kyle Keenum | Individual | Pharmacist | Altus, OK |
| 1528721818 | Levi Muller | Individual | Pharmacist | Altus, OK |
| 1043973324 | Elizabeth Myers | Individual | Pharmacist | Altus, OK |
Verify this record
Cross-check NPI 1053924969 against the authoritative CMS record: view Keenum Pharmacy, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Keenum Pharmacy, LLC?
What is the NPI number for Keenum Pharmacy, LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2021-10-11.