Active NPI
Jacqueline Shannon Keselman
- Pharmacist
- Bensalem, PA
National Provider Identifier
1215543574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP454796
- Practice address
- 1336 Bristol Pike Ste 100
Bensalem, PA 19020-5670 - Phone
- (215) 638-7135
- NPI assigned
- Sep 21, 2020
- Last updated
- Sep 21, 2020
- Sex
- Female
- 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 | RP454796 | PA | Primary |
Addresses
Primary practice location
1336 Bristol Pike Ste 100
Bensalem, PA 19020-5670
Mailing address
25 W Bellwood Dr
Holland, PA 18966-1753
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP454796 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acme Markets Inc | Current | Accepting new patients |
Locations
1336 Bristol Pike
Ste 100
Bensalem, PA 19020
Phone (215) 638-7135
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1215543574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 W BELLWOOD DR",
"city": "HOLLAND",
"state": "PA",
"postal_code": "189661753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1336 BRISTOL PIKE STE 100",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190205670",
"telephone_number": "215-638-7135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESELMAN",
"first_name": "JACQUELINE",
"middle_name": "SHANNON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-21",
"last_updated": "2020-09-21",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP454796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bensalem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.