Individual provider Active NPI

Kathryn Leann Kiker, PHARM D.

  • Pharmacist
  • Southampton, PA
National Provider Identifier
1669097234
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP445682 Issued in PA
Practice address
928 Jaymor Rd Ste A200
Southampton, PA 18966-3841
Phone
(814) 648-0901
NPI assigned
Jun 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP445682 PA Primary

Addresses

Primary practice location

928 Jaymor Rd Ste A200
Southampton, PA 18966-3841

Mailing address

1429 Hilltown Pike
Line Lexington, PA 18932-9600
Phone (814) 648-0901

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP445682PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Workers' Choice Pharmacy CurrentSince Aug 2, 2020 Accepting new patients

Locations

928 Jaymor Rd
Ste A200
Southampton, PA 18966
Phone (215) 355-2011

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1669097234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 HILLTOWN PIKE",
            "city": "LINE LEXINGTON",
            "state": "PA",
            "postal_code": "189329600",
            "telephone_number": "814-648-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 JAYMOR RD STE A200",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663841",
            "telephone_number": "814-648-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIKER",
        "first_name": "KATHRYN",
        "middle_name": "LEANN",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP445682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.