Kristian Kaniski, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S012951 Issued in AZ

Practice address

2045 S Vineyard Ste 133
Mesa, AZ 85210-6893

Phone

(480) 969-0600

Fax

(480) 969-0712

NPI assigned

Mar 9, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Locations

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.

• Apoteka Compounding LLC

  • Compounding Pharmacy
  • Mesa, AZ
  • NPI 1194736777
  NPD Authorized official
• Community Clinical Pharmacy LLC

  • Community/Retail Pharmacy
  • Mesa, AZ
  • NPI 1801592555
  NPD

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1093218679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD STE 133",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106893",
            "telephone_number": "480-969-0600",
            "fax_number": "480-969-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 S VINEYARD STE 133",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106893",
            "telephone_number": "480-969-0600",
            "fax_number": "480-969-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANISKI",
        "first_name": "KRISTIAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-09",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S012951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY LICENSE",
            "identifier": "S012951",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arricka A Kane
• Halle Kane
• Maren Kanekoa, ED. S.
• Gracia Colombe Kaneza
• Serena Kang
• Sarah Elizabeth Kankiewicz, CPM, LM
• Vidhyalakshmi Kannan, MD
• Ritesh Kanotra, MD
• Robert James Kanouse, PHARMD
• Roopesh K Kantala, M.D.

• Pharmacist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.