DR. JACKSON ALLEN KICKLIGHTER PHARMD, MHA, BCMTMS
NPI 1255948345
Pharmacist in Petersburg, VA

Active since September 23, 2020
20 W BANK ST STE 6, PETERSBURG, VA 23803(804) 835-5425 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 21, 2022, Sep 23, 2020 (2 updates tracked since 2020).

About Dr. Jackson Allen Kicklighter Pharmd, Mha, Bcmtms NPPES

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

DR. JACKSON ALLEN KICKLIGHTER PHARMD, MHA, BCMTMS (NPI 1255948345) is an individual pharmacist in Petersburg, Virginia, licensed in Virginia (0202219611) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1255948345
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. JACKSON ALLEN KICKLIGHTERCredential: PHARMD, MHA, BCMTMS
Location Address20 W BANK ST STE 6Petersburg, VA 23803-3279
Mailing Address3424 Midhurst DrChester, VA 23831-1462 · (706) 871-5549
Sole ProprietorNo
Enumeration DateSeptember 23, 2020
Last NPPES UpdateOctober 21, 20222 updates tracked since enumeration
NPPES CertifiedMarch 14, 2022
NPI 1255948345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses Licensed in VA · 0202219611 Licensed in NC · 29807
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.

20 W BANK ST STE 6, Petersburg, VA 23803

Other Providers at the Same Location NPPES 5

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

Counselor (Professional)
20 W BANK ST STE 6
PETERSBURG, VA 23803
Social Worker (Clinical)
20 W BANK ST STE 6
PETERSBURG, VA 23803
Counselor (Professional)
20 W BANK ST STE 6
PETERSBURG, VA 23803
Pharmacy (Long Term Care Pharmacy)
20 W BANK ST STE 6
PETERSBURG, VA 23803
Social Worker (Clinical)
20 W BANK ST STE 6
PETERSBURG, VA 23803

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255948345, enumerated as an "individual" on September 23, 2020.

The provider is located at 20 W BANK ST STE 6 PETERSBURG, VA 23803 and the phone number is (804) 835-5425.

Pharmacist with taxonomy code 183500000X.