Active NPI
Ben Wayne Kistler, RPH
- Pharmacist
- Grand Island, NE
National Provider Identifier
1760877351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8978
- Practice address
- 808 N Diers Ave
Grand Island, NE 68803-4955 - Phone
- (308) 381-2225
- NPI assigned
- Apr 1, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 8978 | NE | Primary |
Addresses
Primary practice location
808 N Diers Ave
Grand Island, NE 68803-4955
Mailing address
808 N Diers Ave
Grand Island, NE 68803-4955
Phone (308) 381-2225
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
- Credentials
- Registered Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427846400000",
"number": "1760877351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 N DIERS AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688034955",
"telephone_number": "308-381-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 N DIERS AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688034955",
"telephone_number": "308-381-2225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISTLER",
"first_name": "BEN",
"middle_name": "WAYNE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-01",
"last_updated": "2015-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "8978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.