Carl Kesgen, PHARM.D.

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

PS40314 Issued in FL

Practice address

4650 State Road 16
Saint Augustine, FL 32092-0600

Phone

(904) 940-2193

NPI assigned

Jan 17, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1962740431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 STATE ROAD 16",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320920600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 STATE ROAD 16",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320920600",
            "telephone_number": "904-940-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESGEN",
        "first_name": "CARL",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "FL",
            "license": "PU6294",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "FL",
            "license": "PS40314",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NC",
            "license": "17774",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imani Zena Kent
• Earnest E Kepler, PA-C
• Julia Rose Kerekes, PA-C
• Mary Alston Kerllenevich, PH.D.
• Marcy Kerr, OTR
• Katie Kestner
• Hailee A Ketterer
• Jacqueline Grace Kettler, OTR/L
• Kevon E. Rennie DMD, P.a.
• Mohammad Khalid, MD

• Pharmacotherapy Pharmacist in Saint Augustine, FL
• Providers in Saint Augustine, FL by specialty
• Pharmacotherapy Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.