Individual provider Active NPI

Dennis Kiesel

  • Pharmacist
  • Delmont, PA
National Provider Identifier
1184331001
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP457307 Issued in PA
Practice address
195 Sheffield Dr Ste B
Delmont, PA 15626-1744
Phone
(724) 468-5565
NPI assigned
Oct 31, 2022
Last updated
Jul 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP457307 PA Primary

Addresses

Primary practice location

195 Sheffield Dr Ste B
Delmont, PA 15626-1744

Mailing address

741 Walnut St
Latrobe, PA 15650-2033
Phone (724) 468-5565

Other identifiers 1

IdentifierTypeStateIssuer
1386723054OtherPANPI

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

State licenses

LicenseStateTypeSpecialty
RP457307PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Crossroads Apothecary LLC CurrentSince Aug 6, 2023 Accepting new patients
Salem Crossroads Apothecary LLC CurrentSince Nov 6, 2022 Accepting new patients

Locations

195 Sheffield Dr
Ste B
Delmont, PA 15626
Phone (724) 468-5565

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1184331001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 WALNUT ST",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156502033",
            "telephone_number": "724-468-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 SHEFFIELD DR STE B",
            "city": "DELMONT",
            "state": "PA",
            "postal_code": "156261744",
            "telephone_number": "724-468-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESEL",
        "first_name": "DENNIS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-31",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP457307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386723054",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmont, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.