MEDICARE: KASISKY ENTERPRISES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	PP412735L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3943304	OTHER		NCPDP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649384561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KASISKY ENTERPRISES INC

Provider Business Mailing Address
First Line	:	401 NORTH 4TH ST
Second Line	:
City	:	INDIANA
State	:	PA
Zip	:	15701-2026
Country	:	US
Telephone Number	:	724-349-9170
Fax Number	:	724-349-9182

Provider Business Practice Location Address
First Line	:	401 NORTH 4TH ST
Second Line	:
City	:	INDIANA
State	:	PA
Zip	:	15701-2026
Country	:	US
Telephone Number	:	724-349-9170
Fax Number	:	724-349-9182

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	CHRISTINE KASISKY
Credential	:	RPH
Telephone Number	:	724-349-9170

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	10/31/2025

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Directions to “KASISKY ENTERPRISES INC ” Practice Location

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