Active NPI
Dennis Kiesel
- Pharmacist
- Delmont, PA
National Provider Identifier
1184331001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP457307
- Practice address
- 195 Sheffield Dr Ste B
Delmont, PA 15626-1744 - Phone
- (724) 468-5565
- NPI assigned
- Oct 31, 2022
- Last updated
- Jul 12, 2023
- Sex
- Male
- Sole proprietor
- No
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386723054 | Other | PA | NPI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP457307 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Crossroads Apothecary LLC | Current | Accepting new patients | |
| Salem Crossroads Apothecary LLC | Current | 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.
-
dba Salem Crossroads Apothecary
- Long Term Care Pharmacy
- Delmont, PA
- NPI 1013699735
-
dba Salem Crssrds Apothecary
- Community/Retail Pharmacy
- Delmont, PA
- NPI 1386723054
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.