Kyle A. Banks, RPH
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Cedartown, GA
NPI 1134488950 · NPPES record last updated May 29, 2026
Key facts
- NPI
- 1134488950
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- RPH018686 (GA)
- Practice address
- 730 N Main St
Cedartown, GA 30125-2358 - Phone
- (770) 749-5095
- Fax
- (770) 749-0228
- NPI assigned
- May 14, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH018686 | GA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Co | Past | Accepting new patients | |
| The Kroger Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH018686 | GA | Yes |
Addresses
Primary practice location
730 N Main St
Cedartown, GA 30125-2358
Mailing address
730 N Main St
Cedartown, GA 30125-2358
Phone (770) 749-5095
Other providers in Cedartown, GA
- Adventist Health System Georgia Inc
- Benjamin Wade Alverson
- Amedisys Georgia LLC
- Michael Atwater
- Erin Baker
- Babette Barber
- Andrea Barrentine
- Isik Dundar Baydar
- Ryan Ray Beck
- Randall Bell
All providers in Cedartown, GA · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.