Active NPI
Tyson D Kistler, PHARMD RPH
- Pharmacist
- Hickory, NC
National Provider Identifier
1073922506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 15889
- Practice address
- 2525 US Highway 70 SE
Hickory, NC 28602-8302 - Phone
- (828) 327-7891
- Fax
- (828) 324-7417
- NPI assigned
- Aug 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 15889 | NC | Primary |
Addresses
Primary practice location
2525 US Highway 70 SE
Hickory, NC 28602-8302
Mailing address
2525 US Highway 70 SE
Hickory, NC 28602-8302
Phone (828) 327-7891
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15889 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407456000000",
"number": "1073922506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 US HIGHWAY 70 SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286028302",
"telephone_number": "828-327-7891",
"fax_number": "828-324-7417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 US HIGHWAY 70 SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286028302",
"telephone_number": "828-327-7891",
"fax_number": "828-324-7417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISTLER",
"first_name": "TYSON",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "PHARMD RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-08",
"last_updated": "2014-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "15889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.