Heather Anne Fisanick, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP046224L Issued in PA

Practice address

1303 Shoemaker St
Nanty Glo, PA 15943-1254

Phone

(814) 749-7872

NPI assigned

Jul 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heather Kordish Former name

Electronic endpoints 6

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

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.

• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Nanty Glo, PA
  • NPI 1265521926
  NPD (past)
• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Clearfield, PA
  • NPI 1508431081
  NPD (past)

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1376161844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MURPHY SPRING RD",
            "city": "HASTINGS",
            "state": "PA",
            "postal_code": "166466904",
            "telephone_number": "814-937-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 SHOEMAKER ST",
            "city": "NANTY GLO",
            "state": "PA",
            "postal_code": "159431254",
            "telephone_number": "814-749-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISANICK",
        "first_name": "HEATHER",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP046224L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RP046224L",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "riteaid.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1303 Shoemaker St",
            "city": "Nanty Glo",
            "state": "PA",
            "country_code": "US",
            "postal_code": "159431254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "riteaid.com",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1303 Shoemaker St",
            "city": "Nanty Glo",
            "state": "PA",
            "country_code": "US",
            "postal_code": "159431254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "riteaid.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1303 Shoemaker St",
            "city": "Nanty Glo",
            "state": "PA",
            "country_code": "US",
            "postal_code": "159431254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "riteaid.com",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1303 Shoemaker St",
            "city": "Nanty Glo",
            "state": "PA",
            "country_code": "US",
            "postal_code": "159431254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "riteaid.com",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1303 Shoemaker St",
            "city": "Nanty Glo",
            "state": "PA",
            "country_code": "US",
            "postal_code": "159431254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "riteaid.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "1303 Shoemaker St",
            "city": "Nanty Glo",
            "state": "PA",
            "country_code": "US",
            "postal_code": "159431254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "KORDISH",
            "credential": "PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Susan Marie Buck
• Conemaugh Health Initiatives
• Conemaugh Health Initiatives
• Conemaugh Health Initiatives
• DLP Conemaugh Physician Practices LLC
• Indiana Regional Medical Center
• Lisa Janosik
• Daniel W Johnson, MD
• Mark Lauffer, DC
• Daniel James Leonard III, M.D.

• Pharmacist in Nanty Glo, PA
• Providers in Nanty Glo, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.