Individual provider Active NPI

Kerona Shellian Burke-James

  • Pharmacy Technician
  • Bronx, NY
National Provider Identifier
1720866833
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
30247490 Issued in NY
Practice address
3428 Bruner Ave Apt 1
Bronx, NY 10469-2667
Phone
(917) 969-7561
NPI assigned
Sep 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 183700000X 30247490 NY Primary

Addresses

Primary practice location

3428 Bruner Ave Apt 1
Bronx, NY 10469-2667

Mailing address

3428 Bruner Ave Apt 1
Bronx, NY 10469-2667
Phone (917) 969-7561

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

LicenseStateTypeSpecialty
30247490NYMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1720866833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 BRUNER AVE APT 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104692667",
            "telephone_number": "917-969-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3428 BRUNER AVE APT 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104692667",
            "telephone_number": "917-969-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE-JAMES",
        "first_name": "KERONA",
        "middle_name": "SHELLIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacy Technician",
            "state": "NY",
            "license": "30247490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.