Lisa Kistler, PharmD
Pharmacist in Melbourne, FL. Individual provider (NPI-1).
NPI number1366061970
StatusActive
Last updated in NPPESApr 14, 2020
Details
- NPI
- 1366061970
- Entity type
- Individual (NPI-1)
- Name
- Lisa Kistler
- Credential
- PharmD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 14, 2020
- Certification date
- Apr 14, 2020
- Last updated
- Apr 14, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PS58227 | FL | Yes |
Practice location
1350 Hickory StMelbourne, FL 32901-3278
Phone 321-434-7000
Mailing address
1488 Beechfern DrMelbourne, FL 32935-5988
Phone 303-888-9182
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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