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

Jonathan Kissam

Individual provider Pharmacist · NPI 1720809791

Jonathan Kissam is a Pharmacist in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2024.

Licensed in
OH
In the registry since
2024

Practice location Address checks out

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone: (856) 993-4204
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 03444706 (OH)

Record details

NPI number1720809791
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 22, 2024
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024
Mailing address200 Euclid Ave Apt 604, Cleveland, OH 44114-2302

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