Jackson Kicklighter, PHARMD, MHA, BCMTMS
NPI 1255948345 · Pharmacist · Petersburg, VA
Jackson Kicklighter, PHARMD, MHA, BCMTMS is a Pharmacist provider in Petersburg, VA (NPI 1255948345).
Provider details
- NPI number
- 1255948345
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD, MHA, BCMTMS
- Sex
- Male
- Sole proprietor
- No
- License
- 29807 (NC)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-09-23
- Last updated
- 2022-10-21
- Certified
- 2022-03-14
Frequently asked questions
- What is Jackson Kicklighter's NPI number?
- Jackson Kicklighter's National Provider Identifier (NPI) is 1255948345, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Kicklighter's specialty?
- Jackson Kicklighter is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Jackson Kicklighter located?
- Jackson Kicklighter's practice location on file with NPPES is 20 W Bank St Ste 6, Petersburg, VA 23803-3279.
- What is Jackson Kicklighter's phone number?
- The practice phone number listed in the NPPES registry for Jackson Kicklighter is (804) 835-5425.
- Is Jackson Kicklighter's NPI active?
- Yes — Jackson Kicklighter's NPI (1255948345) is active in the NPPES registry as of the last update on 2022-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.