Jennifer Stewart Kistler, PHARM.D.

Individual provider Active NPI Pharmacist · Hildebran, NC

NPI 1851652200 · NPPES record last updated Jun 1, 2012

Key facts

NPI
1851652200
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
15915 (NC)
Practice address
300 Main Ave W
Hildebran, NC 28637-8315
Phone
(828) 397-3420
Fax
(828) 397-3477
NPI assigned
Jun 1, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Burke Pharmacy Past Accepting new patients
Ebp LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15915 NC Yes

Addresses

Primary practice location

300 Main Ave W
Hildebran, NC 28637-8315

Mailing address

PO Box 664
Hildebran, NC 28637-0664
Phone (828) 397-3420

Other providers in Hildebran, NC

All providers in Hildebran, NC · Pharmacist in North Carolina

Sources for this page

Verify at the official NPI Registry.