Active NPI
Geri Rebecca Kelsch, PHARMD
- Pharmacist
- Staten Island, NY
National Provider Identifier
1790008563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 047261
- Practice address
- 640 Arthur Kill Rd
Staten Island, NY 10308-1106 - Phone
- (718) 948-6363
- NPI assigned
- Mar 9, 2010
- 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 | 047261 | NY | Primary |
Addresses
Primary practice location
640 Arthur Kill Rd
Staten Island, NY 10308-1106
Mailing address
149 Hereford St
Staten Island, NY 10308-1631
Phone (718) 984-8385
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047261 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268092800000",
"number": "1790008563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 HEREFORD ST",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103081631",
"telephone_number": "718-984-8385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 ARTHUR KILL RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103081106",
"telephone_number": "718-948-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELSCH",
"first_name": "GERI",
"middle_name": "REBECCA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-09",
"last_updated": "2010-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "047261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.