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Keith Allen Rubottom, PHARMD.

NPI 1316263973ActiveIndividual· Pharmacist· Jonesboro, AR

Pharmacist (PHARMD.) in Jonesboro, Arkansas, licensed in AR, TN and MO, with an NPI issued in April 2010. Part D covered 13 prescriptions written in 2024, 0% of them generic.

Overview

NPI1316263973
StatusActive
Entity typeIndividual
CredentialPHARMD.
Sole proprietorNo
NPI issuedApr 7, 2010
Last updated in NPPESApr 7, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000XPD09142AR
Pharmacist183500000X0000033412TN
Pharmacist183500000X2007025915MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)13 · 13 30-day fills
Patients13
Total drug cost$3,507
Generic share0% of claims

Medicare sources and data years

Other pharmacists in Jonesboro

All 108 pharmacists in Jonesboro · All pharmacists in Arkansas