MRS. ANNAMARY KISIC


Address: 500 Old Pond Rd Ste 406, Bridgeville, PA 15017-1272
Phone: 4122571263

MRS. ANNAMARY KISIC (NPI# 1811051287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811051287
Entity Type Individual
Full Name MRS. ANNAMARY KISIC
Credential R.PH, BCGP
Practice Address 500 Old Pond Rd Ste 406
Bridgeville
PA 15017-1272
Mailing Address 1074 Lafayette St
Bridgeville
PA 15017-2212
Practice Telephone 4122571263
Practice Fax Number 4122571266
Mailing Telephone 4122219462
Enumeration Date 2006-12-20
Last Update Date 2020-10-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835G0303X Pharmacist
Specialization: Geriatric
RP036921L PA Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
BOARD CERTIFIED GERIATRIC PHARMACIST 9101107 01

Office Location

Street Address 500 OLD POND RD STE 406
City BRIDGEVILLE
State PA
Zip Code 15017-1272

Providers in the same location

NPI Name Taxonomy Address Enumeration
1205437779 Kathryn Ann Kambitsis Pharmacist 500 Old Pond Rd Ste 406, Bridgeville, PA 15017-1272 2020-11-02
1699375832 Jocelyn Morelock Pharmacist 500 Old Pond Rd Ste 406, Bridgeville, PA 15017-1272 2020-10-27
1003415571 Dragana Golic Pharmacist 500 Old Pond Rd Ste 406, Bridgeville, PA 15017-1272 2020-10-25
1285233726 Devon Pazmino Pharmacist 500 Old Pond Rd Ste 406, Bridgeville, PA 15017-1272 2020-10-24
1124627849 Cynthia Sterling Beltz Pharmacist 500 Old Pond Rd Ste 406, Bridgeville, PA 15017-1272 2020-10-23
1750980629 Jessica Lynne Sylvester Pharmacist 500 Old Pond Rd Ste 406, Bridgeville, PA 15017-1272 2020-10-22
1558960344 Joshua Dessoye Pharmacist 500 Old Pond Rd Ste 406, Bridgeville, PA 15017-1272 2020-10-22
1386243202 Matthew Bruno Pharmacist 500 Old Pond Rd Ste 406, Bridgeville, PA 15017-1272 2020-10-21
1396362778 Cori Jenson Shope Student in an Organized Health Care Education/Training Program 500 Old Pond Rd Ste 406, Bridgeville, PA 15017-1272 2020-07-01
1851819296 Cameron George Carlock Pharmacist 500 Old Pond Rd Ste 406, Bridgeville, PA 15017-1272 2017-09-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689082612 Children's Community Pediatrics Dentist 205 Millers Run Road, 3rd Floor, Bridgeville, PA 15017 2014-07-22
1578973558 Calm Waters LLC Community/Behavioral Health 1840 Mayview Road, Suite 204, Pittsburgh, PA 15017 2014-04-30
1962753418 Jessica Lynn Torick Counselor 300 Old Pond Rd Ste 201, Bridgeville, PA 15017 2012-09-24
1588944664 Peter E Schmidt Case Manager/Care Coordinator 316 Sation St. #100, Bridgeville, PA 15017 2011-08-22
1912202052 Sizewise Rentals LLC Durable Medical Equipment & Medical Supplies 200 Villani Drive Ste 3003, Bridgeville, PA 15017 2011-01-21
1427358118 Fredrick Andrew Faust Physical Therapy Assistant 3564washington Pike, Bridgeville, PA 15017 2010-10-27
1033260120 Allan W. Clark Psychiatry & Neurology South Hills Recovery Project, 850 Boyce Road Suite 2, Bridgeville, PA 15017 2007-01-15
1306921564 Natalie Marie Russo Psychologist 316 Station Street, Bridgeville, PA 15017 2006-10-26
1770676496 Scott Brenden Stephens Pharmacist 500 Old Pond Road, Suite 506, Bridgeville, PA 15017 2006-10-02
1225045115 Louis Emil Damich Jr. Dentist 212 Washington Ave, Bridgeville, PA 15017 2006-08-02
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Taxonomy Information

Taxonomy Code 1835G0303X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Geriatric

Taxonomy Definition

A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly.
Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265791545 Jacob Michael Sebastiao Pharmacist 1041 Washington Pike, Suite 100, Bridgeville, PA 15017 2012-05-08
1134205206 Michele Lee Tipton Pharmacist 500 Old Pond Rd, Swte. 400, Bridgeville, PA 15017-1272 2006-10-31
1801978119 Monica B Aspinall Pharmacist 500 Old Pond Rd, Suite 406, Bridgeville, PA 15017-1272 2006-10-19
1336238849 Trudy Lee Bouvy Pharmacist 500 Old Pond Rd, Suite 406, Bridgeville, PA 15017-1272 2006-10-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275152217 Abigail Steele Pharmacist 720 Little Creek Ln, Cranberry Twp, PA 16066-7792 2020-04-09
1659900900 Susan Riggle Pharmacist 4023 Turnwood Ln, Moon Township, PA 15108-9074 2020-04-07
1265945919 Emily Kryger Pharmacist 1156 Duryea Dr, Hummelstown, PA 17036-6821 2017-11-15
1578072450 Joann Mary Seigel Pharmacist 410 Carmell Drive, Pittsburgh, PA 15241 2017-09-24
1619334661 Diane Tokach Pharmacist 2619 Shingus Cir, Mechanicsburg, PA 17055-6094 2016-01-21
1629400593 Suzanne Carothers Pharmacist 2475 Dogwood Dr, Wexford, PA 15090-7719 2013-08-02
1487908554 Laura A Finn Pharmacist 724 S Mill Rd, Kennett Square, PA 19348-3429 2012-10-29
1720343569 Margaret Rae Glessner Pharmacist 1030 Goodwin Ln, West Chester, PA 19382-7362 2012-07-09
1528330123 Ryan Joseph Fennick Pharmacist 142 Jameson Way, Seven Fields, PA 16046-4324 2012-01-30
1801165238 Chana R Hershkop Pharmacist 1 Wiltshire Rd, Wynnewood, PA 19096-3636 2011-12-13
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Competitor

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City BRIDGEVILLE
Zip Code 15017

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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