Active NPI
Khaled Keshk
- Pharmacist
- Hackettstown, NJ
National Provider Identifier
1285029181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 057717
- Practice address
- 203 Mountain Ave
Hackettstown, NJ 07840-2408 - Phone
- (908) 852-2223
- NPI assigned
- Mar 30, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28RI03347200 | NJ | |
| Pharmacist | 183500000X | 057717 | NY | Primary |
Addresses
Primary practice location
203 Mountain Ave
Hackettstown, NJ 07840-2408
Mailing address
170 Academy St Apt C33
Jersey City, NJ 07306-2455
Phone (646) 684-8280
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 |
|---|---|---|---|
| 28RI03347200 | NJ | MD | Pharmacist |
| 057717 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrift Drug Inc | Past | Accepting new patients | |
| Thrift Drug Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Hamburg, NJ
- NPI 1114026341
-
- Community/Retail Pharmacy
- Hackettstown, NJ
- NPI 1649379876
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617840000000",
"number": "1285029181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 ACADEMY ST APT C33",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073062455",
"telephone_number": "646-684-8280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 MOUNTAIN AVE",
"city": "HACKETTSTOWN",
"state": "NJ",
"postal_code": "078402408",
"telephone_number": "908-852-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESHK",
"first_name": "KHALED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-30",
"last_updated": "2021-04-08",
"certification_date": "2021-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03347200",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "057717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hackettstown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.