Active NPI
Kenneth Knick, R.PH.
- Psychiatric Pharmacist
- Catawba, VA
National Provider Identifier
1649413618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Pharmacist
- License
- 0202009740
- Practice address
- 5525 Catawba Hospital Dr
Department of Pharmacy
Catawba, VA 24070-2115 - Phone
- (540) 375-4292
- Fax
- (540) 375-4708
- NPI assigned
- Apr 7, 2009
- 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 |
|---|---|---|---|---|
| Psychiatric Pharmacist | 1835P1300X | 0202009740 | VA | Primary |
Addresses
Primary practice location
5525 Catawba Hospital Dr
Department of Pharmacy
Catawba, VA 24070-2115
Mailing address
5525 Catawba Hospital Dr
Catawba, VA 24070-2115
Phone (540) 375-4292
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202009740 | VA | MD | Psychiatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239062400000",
"number": "1649413618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 CATAWBA HOSPITAL DR",
"city": "CATAWBA",
"state": "VA",
"postal_code": "240702115",
"telephone_number": "540-375-4292",
"fax_number": "540-375-4708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5525 CATAWBA HOSPITAL DR",
"address_2": "DEPARTMENT OF PHARMACY",
"city": "CATAWBA",
"state": "VA",
"postal_code": "240702115",
"telephone_number": "540-375-4292",
"fax_number": "540-375-4708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNICK",
"first_name": "KENNETH",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-07",
"last_updated": "2009-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1300X",
"taxonomy_group": "",
"desc": "Pharmacist, Psychiatric",
"state": "VA",
"license": "0202009740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Catawba, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.