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

Keith Allen Nissen, PHARMD

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1598643256

Keith Allen Nissen, PHARMD is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Bloomsburg, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2025
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

833 Columbia Blvd
Bloomsburg, PA 17815-2325
Phone: (570) 784-8061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RP459607 (PA)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Taxonomy 1835P0018X · Licence RP459607 (PA)

Record details

NPI number1598643256
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedAugust 21, 2025
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025

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