Kelly Kistler, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

S017269 Issued in AZ

Practice address

23620 N 20TH Dr
Suite 12
Phoenix, AZ 85085-0621

Phone

(602) 790-1802

NPI assigned

Mar 23, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1780908582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20710 N 51ST DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089369",
            "telephone_number": "602-790-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23620 N 20TH DR",
            "address_2": "SUITE 12",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850850621",
            "telephone_number": "602-790-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISTLER",
        "first_name": "KELLY",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S017269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Masood Ahmad Kisana
• Jennifer Shay Kiser, PAC
• Glen Y Kishi, MD
• Victor Kissil, DO
• Sara Kissinger, PHARM.D.
• Alyssa Kitay
• Jaron Kitchel
• Frank D Kitei, DO
• Lynne D. Kitei, M.D.
• Telia Teresa Kiteley, LPC

• Pharmacist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.