Individual provider · Type 1 NPI

Kacie Kinnikin

Pharmacist · St. Louis, MO

NPI number 1891533113 Active

Practice location

915 N Grand Blvd
St. Louis, MO 63106-1621

Mailing address

403 Tupelo Dr
Belleville, IL 62220-2763

Other practice locations

  • 1310 24th Ave S, Nashville, TN 37212-2637 · (615) 327-4751
  • 116 N Pauline St, Memphis, TN 38104-1005 · (901) 523-8990

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X2024028773 (MO)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

681 other providers at this address

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About NPI 1891533113

Kacie Kinnikin's National Provider Identifier is 1891533113, issued on Jul 19, 2024. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in St. Louis, MO. The record was last updated on Mar 20, 2026.