Cassandra Kiser, PHARMD
Individual provider Active NPI Pharmacist · Corry, PA
NPI 1639890239 · NPPES record last updated Sep 12, 2022
Key facts
- NPI
- 1639890239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP455847 (PA)
- Practice address
- 330 W Columbus Ave
Corry, PA 16407-1002 - Phone
- (814) 664-2617
- NPI assigned
- Sep 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP455847 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennsylvania CVS Pharmacy, L.L.C. | Past |
Accepting new patients | |
| Pennsylvania CVS Pharmacy, L.L.C. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP455847 | PA | Yes |
Addresses
Primary practice location
330 W Columbus Ave
Corry, PA 16407-1002
Mailing address
330 W Columbus Ave
Corry, PA 16407-1002
Other providers in Corry, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.