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Dr. Jackson Allen Kicklighter, PHARMD, MHA, BCMTMS

Pharmacist in Petersburg, VA · enumerated 2020 · practices at Genoa Healthcare LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255948345

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Registry record

Entity type Individual (Type 1)
Name Dr. Jackson Allen Kicklighter
Credential PHARMD, MHA, BCMTMS
Sex Male
Practice address 20 W Bank St Ste 6, Petersburg, VA, 23803
Phone (804) 835-5425
Enumeration date Sep 23, 2020
Last updated in NPPES Oct 21, 2022

Taxonomy & licenses

183500000X Pharmacist Pharmacy Service Providers · License 29807 (NC) Secondary
183500000X Pharmacist Pharmacy Service Providers · License 0202219611 (VA) Primary
PHARMD · Doctor of Pharmacy: A licensed pharmacist with a professional doctorate in pharmacy. About the PHARMD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jackson Kicklighter practice?
The practice location on file with NPPES is in Petersburg, VA. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jackson Kicklighter?
The National Provider Identifier (NPI) for Jackson Kicklighter is 1255948345, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-10-21.