Kenitra Kiama Charles, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

PHTC057415 Issued in GA

Practice address

7360 Skidaway Rd
Savannah, GA 31406-4265

Phone

(912) 354-3816

NPI assigned

Feb 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kenitra Kiama Pontoon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1164014411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 GATEWAY BLVD W UNIT 1431",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314197541",
            "telephone_number": "941-524-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7360 SKIDAWAY RD",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064265",
            "telephone_number": "912-354-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "KENITRA",
        "middle_name": "KIAMA",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "GA",
            "license": "PHTC057415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENITRA",
            "last_name": "PONTOON",
            "middle_name": "KIAMA",
            "credential": "CPHT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pharmacy Technician in Savannah, GA
• Providers in Savannah, GA by specialty
• Pharmacy Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.