Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jackson Allen Kicklighter, PHARMD, MHA, BCMTMS

Individual provider Pharmacist · NPI 1255948345

Dr. Jackson Allen Kicklighter, PHARMD, MHA, BCMTMS is a Pharmacist in Petersburg, Virginia. Licensed in North Carolina and Virginia. Registered with an NPI since 2020.

Licensed in
NC, VA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.
MHA — Master of Health Administration
A graduate degree in health management.

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Practice location Address checks out

20 W Bank St Ste 6
Petersburg, VA 23803-3279
Phone: (804) 835-5425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 0202219611 (VA)
Pharmacist Taxonomy 183500000X · Licence 29807 (NC)

Record details

NPI number1255948345
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD , MHA , BCMTMS
Sole proprietorNo
NPI enumeratedSeptember 23, 2020
Last updated in NPPESOctober 21, 2022
Certification dateMarch 14, 2022

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