Keith L Hersey, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

17392 Issued in NC

Practice address

1311 W NC Highway 54
Durham, NC 27707-5505

Phone

(919) 489-5814

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• JJ Bug Pharmacy LLC

  • Community/Retail Pharmacy
  • Durham, NC
  • NPI 1558827808
  NPD Authorized official

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982723979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HIGHGROVE LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131968",
            "telephone_number": "919-572-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 W NC HIGHWAY 54",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075505",
            "telephone_number": "919-489-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSEY",
        "first_name": "KEITH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "17392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaquita Joy Herring
• Holly Marie Herrington
• Tara Rae Herrmann, PA-C
• Anne C Herron, MSW,LCSW
• Zachary Scott Herron
• Keith Richard Hersh, PHD
• Hershey & Heymann Orthodontics
• Barbara Hershey, DDS
• Michael S Hershfield, M.D.
• Amanda Kay Hertel

• Pharmacist in Durham, NC
• Providers in Durham, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.