Active NPI
Sherin Kershah
- Pharmacist
- Big Bear Lake, CA
National Provider Identifier
1659641728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 65821
- Practice address
- 42107 Big Bear Blvd
Big Bear Lake, CA 92315-1530 - Phone
- (909) 866-1076
- NPI assigned
- Jan 6, 2012
- Last updated
- Jan 6, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 65821 | CA | Primary |
Addresses
Primary practice location
42107 Big Bear Blvd
Big Bear Lake, CA 92315-1530
Mailing address
PO Box 6995
Big Bear Lake, CA 92315-6995
Phone (909) 866-1076
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 |
|---|---|---|---|
| 65821 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1659641728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6995",
"city": "BIG BEAR LAKE",
"state": "CA",
"postal_code": "923156995",
"telephone_number": "909-866-1076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42107 BIG BEAR BLVD",
"city": "BIG BEAR LAKE",
"state": "CA",
"postal_code": "923151530",
"telephone_number": "909-866-1076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERSHAH",
"first_name": "SHERIN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-06",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "65821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Big Bear Lake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.