Individual provider Active NPI

Stuart Kersky, R.PH.

  • Pharmacist
  • Winston Salem, NC
National Provider Identifier
1487900841
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21684 Issued in NC
Practice address
Wake Forest Baptist Health 1 Medical Ce
Winston Salem, NC 27157-1107
Phone
(336) 716-7522
NPI assigned
Aug 2, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS022117 FL
Pharmacist 183500000X RP031805L PA
Pharmacist 183500000X 21684 NC Primary
Pharmacist 183500000X 051.039492 IL

Addresses

Primary practice location

Wake Forest Baptist Health 1 Medical Ce
Winston Salem, NC 27157-1107

Mailing address

705 Bruton PL N
Greensboro, NC 27410-4663
Phone (336) 409-4525

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS022117FLMDPharmacist
051.039492ILMDPharmacist
21684NCMDPharmacist
RP031805LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1487900841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BRUTON PL N",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104663",
            "telephone_number": "336-409-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WAKE FOREST BAPTIST HEALTH 1 MEDICAL CE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271571107",
            "telephone_number": "336-716-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSKY",
        "first_name": "STUART",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-02",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS022117",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP031805L",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "21684",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.039492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.