Active NPI
Peter Bruce Kistler, RPH
- Pharmacist
- Sunbury, PA
National Provider Identifier
1821325374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP030105L
- Practice address
- 439 Market St
Sunbury, PA 17801-2335 - Phone
- (570) 286-6711
- Fax
- (570) 286-4611
- NPI assigned
- Nov 4, 2009
- Last updated
- Nov 4, 2009
- 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 | RP030105L | PA | Primary |
Addresses
Primary practice location
439 Market St
Sunbury, PA 17801-2335
Mailing address
439 Market St
P.O. Box 583
Sunbury, PA 17801-2335
Phone (570) 286-6711
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP030105L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257292800000",
"number": "1821325374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "439 MARKET ST",
"address_2": "P.O. BOX 583",
"city": "SUNBURY",
"state": "PA",
"postal_code": "178012335",
"telephone_number": "570-286-6711",
"fax_number": "570-286-4611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 MARKET ST",
"city": "SUNBURY",
"state": "PA",
"postal_code": "178012335",
"telephone_number": "570-286-6711",
"fax_number": "570-286-4611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISTLER",
"first_name": "PETER",
"middle_name": "BRUCE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-04",
"last_updated": "2009-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP030105L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunbury, PA
- Keystone Service Systems Inc
- Keystone Service Systems, Inc
- Keystone Service Systems, Inc
- Keystone Service Systems, Inc.
- Christina M Kinslow, COTA/L
- Kling Health Services, LP (Sunbury Community Health and Rehabilitation Center)
- Melissa Anne Klock
- Christine Knotwell
- Nicole Rebecca Krebs, PAA-C
- Melody Ann Latsha, BCD, LCSW,
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.