Healthcare Provider Details

I. General information

NPI: 1821961905
Provider Name (Legal Business Name): ADAM SCOTT KISER PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2025
Last Update Date: 09/25/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2461 SHATTUCK AVENUE
BERKELEY CA
94704
US

IV. Provider business mailing address

8 10TH ST APT 2506
SAN FRANCISCO CA
94103-1437
US

V. Phone/Fax

Practice location:
  • Phone: 510-548-8777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number90005
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: