Active NPI
Beshoi Kerolus
- Pharmacist
- Tinton Falls, NJ
National Provider Identifier
1487240644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI04054000
- Practice address
- 2 Center PLZ
Tinton Falls, NJ 07724-9744 - Phone
- (718) 869-1214
- NPI assigned
- Dec 11, 2020
- Sex
- Male
- 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 | 28RI04054000 | NJ | Primary |
Addresses
Primary practice location
2 Center PLZ
Tinton Falls, NJ 07724-9744
Mailing address
10 Fernwood CT
East Brunswick, NJ 08816-3333
Phone (718) 869-1214
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 |
|---|---|---|---|
| 28RI04054000 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1487240644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 FERNWOOD CT",
"city": "EAST BRUNSWICK",
"state": "NJ",
"postal_code": "088163333",
"telephone_number": "718-869-1214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CENTER PLZ",
"city": "TINTON FALLS",
"state": "NJ",
"postal_code": "077249744",
"telephone_number": "718-869-1214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEROLUS",
"first_name": "BESHOI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-11",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI04054000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tinton Falls, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.