Healthcare Provider Details

I. General information

NPI: 1336003326
Provider Name (Legal Business Name): KAITIE LYNN CIANO CPHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 S BROAD ST
LITITZ PA
17543-2806
US

IV. Provider business mailing address

187 FRUITVILLE PIKE
MANHEIM PA
17545-2207
US

V. Phone/Fax

Practice location:
  • Phone: 717-626-8507
  • Fax:
Mailing address:
  • Phone: 717-205-3868
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number30329168
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: