BRENDA KICKERTZ
NPI 1205048204
Pharmacist in Rockford, IL

Active since May 04, 2007
4940 E STATE ST, SUITE 1, ROCKFORD, IL 61108(815) 227-0081 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brenda Kickertz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDA KICKERTZ (NPI 1205048204) is an individual pharmacist in Rockford, Illinois and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1205048204
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameBRENDA KICKERTZ
Location Address4940 E STATE ST, SUITE 1Rockford, IL 61108-2270
Mailing Address4940 E State St, Suite 1Rockford, IL 61108-2270 · (815) 227-0081
Sole ProprietorNo
Enumeration DateMay 4, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1205048204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
4940 E STATE ST, Rockford, IL 61108

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
4940 E STATE ST
ROCKFORD, IL 61108
Counselor (Addiction (Substance Use Disorder))
4940 E STATE ST
ROCKFORD, IL 61108
Pharmacist
4940 E STATE ST, SUITE 1
ROCKFORD, IL 61108
Dietitian, Registered
4940 E STATE ST, SUITE 3
ROCKFORD, IL 61108
Physical Therapist
4940 E STATE ST
ROCKFORD, IL 61108
Dietitian, Registered
4940 E STATE ST, SUITE 3
ROCKFORD, IL 61108
Pharmacist
4940 E STATE ST, SUITE 1
ROCKFORD, IL 61108
Social Worker (Clinical)
4940 E STATE ST, SUITE 3
ROCKFORD, IL 61108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenda Kickertz's NPI number?

The NPI number for Brenda Kickertz is 1205048204. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Brenda Kickertz located?

Brenda Kickertz practices at 4940 E State St Suite 1, Rockford, IL 61108. The listed phone number is (815) 227-0081.

What is Brenda Kickertz's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Brenda Kickertz was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.