Kyle Allan Lichlyter, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS54822 Issued in FL

Practice address

5171 NW 43Rd St
Gainesville, FL 32606-4456

Phone

(352) 372-8786

NPI assigned

Nov 16, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Gainesville, FL
  • NPI 1538326848
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1003358409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 TURKEY CRK",
            "address_2": "7309 NW 115TH RD",
            "city": "ALACHUA",
            "state": "FL",
            "postal_code": "326159309",
            "telephone_number": "812-639-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5171 NW 43RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326064456",
            "telephone_number": "352-372-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHLYTER",
        "first_name": "KYLE",
        "middle_name": "ALLAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-16",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS54822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danny Liang, MD
• Carley Libby
• Lori A Libert, PT
• Mikaela Libunao, PA-C
• Kenneth T Licciardi, DC
• Jonathan Licht, M.D.
• John G Lieb II, MD
• Brittany Nicole Liebenow
• Leora Lieberman, MD
• Khon Han Lien

• Pharmacist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.