Active NPI
Jeffery William Kesecker, RPH
- Pharmacist
- Webster Springs, WV
National Provider Identifier
1093893190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4701
- Practice address
- 324 Miller Mountain Dr
Webster Springs, WV 26288-1026 - Phone
- (304) 847-5151
- Fax
- (304) 847-2800
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4701 | WV | Primary |
Addresses
Primary practice location
324 Miller Mountain Dr
Webster Springs, WV 26288-1026
Mailing address
5 Woodside Dr
Summersville, WV 26651-1275
Phone (304) 872-5160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4701 | WV | MD | Neuromusculoskeletal Medicine & OMM Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093893190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 WOODSIDE DR",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266511275",
"telephone_number": "304-872-5160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 MILLER MOUNTAIN DR",
"city": "WEBSTER SPRINGS",
"state": "WV",
"postal_code": "262881026",
"telephone_number": "304-847-5151",
"fax_number": "304-847-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESECKER",
"first_name": "JEFFERY",
"middle_name": "WILLIAM",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Webster Springs, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.