Individual provider · Type 1 NPI

Keith Allen Nissen, PharmD

Pharmacist · Bloomsburg, PA

NPI number 1598643256 Active

Practice location

833 Columbia Blvd
Bloomsburg, PA 17815-2325

Call (570) 784-8061 Map

Mailing address

20 Alexis Dr
Bloomsburg, PA 17815-7718

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018XRP459607 (PA)
Pharmacist Primary 183500000XRP459607 (PA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1598643256

Keith Allen Nissen, PharmD's National Provider Identifier is 1598643256, issued on Aug 21, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Bloomsburg, PA. The record was last updated on Aug 21, 2025.