Active NPI
Kayla McKitrick, PHARMD
- Pharmacist
- Jacksonville, FL
National Provider Identifier
1124555883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS59828
- Practice address
- 8000 Parramore Rd
Jacksonville, FL 32244-5704 - Phone
- (904) 479-7522
- NPI assigned
- May 12, 2017
- Reactivated
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS59828 | FL | Primary |
Addresses
Primary practice location
8000 Parramore Rd
Jacksonville, FL 32244-5704
Mailing address
8000 Parramore Rd
Jacksonville, FL 32244-5704
Phone (904) 479-7522
Other practice location 1
1890 S University Dr
Davie, FL 33324-5808
Phone (954) 236-7837
Other practice location 2
1890 S University Dr
Davie, FL 33324-5808
Phone (954) 236-7837
Other practice location 3
17800 Congress Ave
Boca Raton, FL 33487
Phone (561) 981-5004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS59828 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1124555883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 PARRAMORE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322445704",
"telephone_number": "904-479-7522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 PARRAMORE RD",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322445704",
"telephone_number": "904-479-7522"
}
],
"practiceLocations": [
{
"address_1": "1890 S University Dr",
"address_purpose": "LOCATION",
"city": "Davie",
"state": "FL",
"postal_code": "333245808",
"country_code": "US",
"telephone_number": "954-236-7837",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1890 S University Dr",
"address_purpose": "LOCATION",
"city": "Davie",
"state": "FL",
"postal_code": "333245808",
"country_code": "US",
"telephone_number": "954-236-7837",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17800 Congress Ave",
"address_purpose": "LOCATION",
"city": "Boca Raton",
"state": "FL",
"postal_code": "33487",
"country_code": "US",
"telephone_number": "561-981-5004",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKITRICK",
"first_name": "KAYLA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-12",
"last_updated": "2021-03-09",
"certification_date": "2021-03-09",
"deactivation_date": "2019-08-24",
"reactivation_date": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS59828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.