Active NPI
John Robert Kessinger III, PHARMD
- Pharmacist
- Poca, WV
National Provider Identifier
1811472004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0010772
- Practice address
- 119 Main St
Poca, WV 25159-9602 - Phone
- (304) 755-1500
- NPI assigned
- Oct 3, 2018
- Sex
- Male
- 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 | RP0010772 | WV | Primary |
Addresses
Primary practice location
119 Main St
Poca, WV 25159-9602
Mailing address
114 Jamie Lane
Eleanor, WV 25070
Phone (304) 553-3674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP0010772 | Other | WV | WV BOARD OF PHARMACY |
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 |
|---|---|---|---|
| RP0010772 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1811472004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 JAMIE LANE",
"city": "ELEANOR",
"state": "WV",
"postal_code": "25070",
"telephone_number": "304-553-3674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 MAIN ST",
"city": "POCA",
"state": "WV",
"postal_code": "251599602",
"telephone_number": "304-755-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSINGER",
"first_name": "JOHN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-03",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0010772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV BOARD OF PHARMACY",
"identifier": "RP0010772",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Poca, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.