Julie C. Kissack, PHARM.D., BCPP

Primary specialty

Psychiatric PharmacistTaxonomy code 1835P1300X

License

RPH017520 Issued in GA

Practice address

915 E Market Ave
Searcy, AR 72149-5615

Phone

(501) 279-5562

Fax

(501) 279-5202

NPI assigned

Jun 14, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230508800000",
    "number": "1447255823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3088 W COUNTRY CLUB RD",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721439494",
            "telephone_number": "501-305-0004",
            "fax_number": "501-279-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 E MARKET AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721495615",
            "telephone_number": "501-279-5562",
            "fax_number": "501-279-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISSACK",
        "first_name": "JULIE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., BCPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2008-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "017520",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "GA",
            "license": "RPH017520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy McNeil Killough, MD
• Katelynn Coleen King
• Tiffany King
• Vicky King, MHT
• H Bradford Kingsriter, LPC
• Hugh Lindsey Kleypas, PT
• Walter Klopner, LPC
• Mohammed Sammy Knefati, DO
• Anthony Glenn Knighton, MS CCC SLP
• C W Koch Jr., M.D.

• Psychiatric Pharmacist in Searcy, AR
• Providers in Searcy, AR by specialty
• Psychiatric Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.