Kenneth Brant Kicklighter Jr., PHARMD.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH25442 Issued in GA

Practice address

111 E Barnard St
Glennville, GA 30427-1660

Phone

(912) 654-2184

NPI assigned

May 14, 2014

Last updated

May 16, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Doctor of Pharmacy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Strickland's Pharmacy, Inc.

  • Pharmacist
  • Glennville, GA
  • NPI 1427162551
  NPD (past)

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1568873370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E BARNARD ST",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "304271660",
            "telephone_number": "912-654-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E BARNARD ST",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "304271660",
            "telephone_number": "912-654-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KICKLIGHTER",
        "first_name": "KENNETH",
        "middle_name": "BRANT",
        "name_suffix": "Jr.",
        "credential": "PHARMD.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH25442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Ledesma Glisson
• Victoria Kangeter Griffith, D.P.T.
• Joseph C Hand III, M.D.
• Larry G Hubbard, D.D.S.
• Jessica Joyner Huggins
• Hee-Jun Gregory Kim, MD
• Brennan Elizabeth King
• Lee Joshua Martin, D.M.D.
• Rosa Marie Melvin
• Nina's Haven Personal Care Home

• Pharmacist in Glennville, GA
• Providers in Glennville, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.