Active NPI
Kyler Kniceley
- Pharmacist
- Clifton Forge, VA
National Provider Identifier
1487526190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202223149
- Practice address
- 1618 Main St
Clifton Forge, VA 24422-1904 - Phone
- (540) 691-2010
- NPI assigned
- Sep 22, 2025
- Sex
- Male
- Sole proprietor
- No
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 | 0202223149 | VA | Primary |
Addresses
Primary practice location
1618 Main St
Clifton Forge, VA 24422-1904
Mailing address
94 YMCA Way Apt 413
Covington, VA 24426-6394
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202223149 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1487526190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 YMCA WAY APT 413",
"city": "COVINGTON",
"state": "VA",
"postal_code": "244266394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1618 MAIN ST",
"city": "CLIFTON FORGE",
"state": "VA",
"postal_code": "244221904",
"telephone_number": "540-691-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNICELEY",
"first_name": "KYLER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-22",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202223149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton Forge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.