Provider Demographics
NPI:1568850857
Name:KESAR, NITIN (PHARMD/MBA)
Entity Type:Individual
Prefix:
First Name:NITIN
Middle Name:
Last Name:KESAR
Suffix:
Gender:M
Credentials:PHARMD/MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 CHERRY RD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-3150
Mailing Address - Country:US
Mailing Address - Phone:803-327-1640
Mailing Address - Fax:
Practice Address - Street 1:725 CHERRY RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3150
Practice Address - Country:US
Practice Address - Phone:803-327-1640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-08
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC24556183500000X
SC35903183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist