Noura Keshta

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

051.304014 Issued in IL

Practice address

944 S York St
Elmhurst, IL 60126-5157

Phone

(630) 834-2000

NPI assigned

Aug 28, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630108800000",
    "number": "1467129205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 ARTHUR AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 S YORK ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265157",
            "telephone_number": "630-834-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESHTA",
        "first_name": "NOURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-28",
        "last_updated": "2021-08-28",
        "certification_date": "2021-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "051.304014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH LICENSE",
            "identifier": "051304014",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EPS",
            "affiliation": "N",
            "endpointDescription": "EPS system and safeway email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "944 S York St",
            "city": "Elmhurst",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601265157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brendan C Kelly, DPT
• Marguerite H Kelly, D.D.S.
• Nolan Kelly
• Kenilworth Optical Co Inc
• Naomi May Kern, CNP
• Russell A. Kesman, D.D.S.
• Kathleen E Kesselring, MSW LCSW BCD
• Jeanne Kett, LCPC
• Kevin and Assoc Inc
• Kevin C Kopp DDS LTD

• Community/Retail Pharmacy in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Community/Retail Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.