Active NPI
Michelle Kerestes
- Pharmacist
- Hickory, NC
National Provider Identifier
1407485865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 27562
- Practice address
- 1257 25TH Street PL SE Apt 2109
Hickory, NC 28602-9658 - Phone
- (704) 576-6760
- NPI assigned
- Apr 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 27562 | NC | Primary |
Addresses
Primary practice location
1257 25TH Street PL SE Apt 2109
Hickory, NC 28602-9658
Mailing address
1331 W Morehead St Apt 137
Charlotte, NC 28208-5368
Phone (704) 576-6760
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 |
|---|---|---|---|
| 27562 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588377600000",
"number": "1407485865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 W MOREHEAD ST APT 137",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282085368",
"telephone_number": "704-576-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1257 25TH STREET PL SE APT 2109",
"city": "HICKORY",
"state": "NC",
"postal_code": "286029658",
"telephone_number": "704-576-6760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERESTES",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-07",
"last_updated": "2020-05-02",
"certification_date": "2020-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "27562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.