Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeremy Lisman

Individual provider Pharmacist · NPI 1306128921

Jeremy Lisman is a Pharmacist in Kingston, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2011
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Practice location Address checks out

201 Wyoming Ave
Kingston, PA 18704-3501
Phone: (570) 283-8267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RP1002057 (PA)

Record details

NPI number1306128921
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 10, 2011
Last updated in NPPESSeptember 10, 2011
Mailing address45 Reliance Dr, Wilkes Barre, PA 18702-1639

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