Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACKSON ALLEN KICKLIGHTER, PHARMD, MHA, BCMTMS
ActiveDR. JACKSON ALLEN KICKLIGHTER, PHARMD, MHA, BCMTMS is a Pharmacist healthcare provider located in PETERSBURG, Virginia. NPI 1255948345 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · PETERSBURG, VA
Registration Details
- NPI Number
- 1255948345
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 23, 2020 (5.8794369358651 yrs)
- Last Updated
- Oct 21, 2022
- Licenses
-
29807 (NC)0202219611 (VA)
Practice Information
- Address
-
20 W BANK ST STE 6PETERSBURG, VA, 238033279Browse VA providers · Browse ZIP 23803
- Phone
- 8048355425
- Primary Specialty
-
Pharmacist
183500000X
- Additional Specialty
- Pharmacist
Other Pharmacist Providers in PETERSBURG, VA
| Name | Credential | NPI |
|---|---|---|
| NANCY CLAY COOK | RPH | 1396723987 |
| LORI VAUGHAN MAZSURE | — | 1467430751 |
| ANGELA AIKENS MCMICHAEL | PHARM.D. | 1073593547 |
| DR. TONYA HENDERSON | PHARM.D. | 1821060815 |
| MR. GEORGE ARTHUR ELLIS | RPH | 1649242322 |
| MS. VIRGINIA NUARA HUDERT | RPH | 1639130172 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.