Active NPI
Andrew Beau Kerby, PHARM.D.
- Pharmacist
- Susanville, CA
National Provider Identifier
1578848537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 66086
- Practice address
- 2875 Main St
Susanville, CA 96130-4739 - Phone
- (530) 257-1020
- NPI assigned
- Oct 20, 2011
- 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 | 66086 | CA | Primary |
Addresses
Primary practice location
2875 Main St
Susanville, CA 96130-4739
Mailing address
520 N Fairfield Ave
Susanville, CA 96130-3106
Phone (530) 251-3361
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
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Alliance | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Sparks, NV
- NPI 1851897664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1578848537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 N FAIRFIELD AVE",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961303106",
"telephone_number": "530-251-3361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2875 MAIN ST",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961304739",
"telephone_number": "530-257-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERBY",
"first_name": "ANDREW",
"middle_name": "BEAU",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-20",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "66086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Susanville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.