Provider Demographics
NPI:1912331844
Name:SINGH, KESHRI SHANELLA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:KESHRI
Middle Name:SHANELLA
Last Name:SINGH
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4353 CARPENTER AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-1310
Mailing Address - Country:US
Mailing Address - Phone:718-300-1230
Mailing Address - Fax:
Practice Address - Street 1:40 W 225TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-7016
Practice Address - Country:US
Practice Address - Phone:718-733-6927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY058521183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist