Kisch, P.C.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

60005128A Issued in IN

Legal business name

KISCH, P.C.

Doing business as

Medicine Shoppe

Practice address

3071 N High School Rd
Speedway, IN 46224-2001

Phone

(317) 347-9929

Fax

(317) 299-0841

NPI assigned

Nov 1, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Glenn L. Kisch, PHARMD

Title

Pharmacist

Phone

(317) 347-9929

Specialties & licenses 1

Addresses

Other names 1

• Medicine Shoppe Doing business as

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1811074438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 N HIGH SCHOOL RD",
            "city": "SPEEDWAY",
            "state": "IN",
            "postal_code": "462242001",
            "telephone_number": "317-347-9929",
            "fax_number": "317-299-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 N HIGH SCHOOL RD",
            "city": "SPEEDWAY",
            "state": "IN",
            "postal_code": "462242001",
            "telephone_number": "317-347-9929",
            "fax_number": "317-299-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISCH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KISCH",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "317-347-9929",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60005128A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Health Network (HSPT Speedway)
• Lynn Arthur Gibney, DPM
• Joseph T Hudson, D.D.S.
• Jackson Inc
• Krzysztof Kamocki, MD, DDS, PHD
• Rachel Anne Lee
• Thomas Gary Lucas, DDS
• Valan S Magnabosco, O.D.
• Courtney Merrill, DPT
• Emily M Miller, M.A.

• Community/Retail Pharmacy in Speedway, IN
• Providers in Speedway, IN by specialty
• Community/Retail Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.