Arthur Dwayne Kisby, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

48576268911 Issued in UT

Practice address

338 S Dakota Ave
30TH Medical Group
Vandenberg AFB, CA 93437-6307

Phone

(805) 606-1819

NPI assigned

Feb 2, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1417929613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 S DAKOTA AVE",
            "address_2": "30TH MEDICAL GROUP",
            "city": "VANDENBERG AFB",
            "state": "CA",
            "postal_code": "934376307",
            "telephone_number": "805-606-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 S DAKOTA AVE",
            "address_2": "30TH MEDICAL GROUP",
            "city": "VANDENBERG AFB",
            "state": "CA",
            "postal_code": "934376307",
            "telephone_number": "805-606-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISBY",
        "first_name": "ARTHUR",
        "middle_name": "DWAYNE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "48576261701",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "48576268911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Ivette Jimenez
• Aaron A. Johnston, M.D.
• Melissa E Jordan
• Roxanne Keeney, RN
• David Bruce Kieser, D.D.S.
• Katie Kovar-Strack, RDN
• Carlene Latouche, NP
• Arnold Lazaga
• Amy Marie Leiter, PA-C
• Brigette Jo Lugo

• Pharmacist in Vandenberg AFB, CA
• Providers in Vandenberg AFB, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.