Active NPI
Stuart Kersky, R.PH.
- Pharmacist
- Winston Salem, NC
National Provider Identifier
1487900841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21684
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PS022117 | FL | MD | Pharmacist |
| 051.039492 | IL | MD | Pharmacist |
| 21684 | NC | MD | Pharmacist |
| RP031805L | PA | MD | Pharmacist |
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.