Individual provider Active NPI

Khaled Keshk

  • Pharmacist
  • Hackettstown, NJ
National Provider Identifier
1285029181
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
057717 Issued in NY
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

Updated by the provider on Apr 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
28RI03347200NJMDPharmacist
057717NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrift Drug Inc PastSince Apr 11, 2021 Accepting new patients
Thrift Drug Inc PastSince Apr 11, 2021 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.

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.

Verify at the official NPI Registry.