Chris Cheatham
Individual provider Active NPI Pharmacist · Philadelphia, MS
NPI 1497063770 · NPPES record last updated Sep 20, 2010
Key facts
- NPI
- 1497063770
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 8045 (MS)
- Practice address
- 714 Pecan Ave
Philadelphia, MS 39350-3402 - Phone
- (601) 656-2545
- NPI assigned
- Sep 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8045 | MS | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8045 | MS | Yes |
Addresses
Primary practice location
714 Pecan Ave
Philadelphia, MS 39350-3402
Mailing address
714 Pecan Ave
Philadelphia, MS 39350-3402
Other providers in Philadelphia, MS
- George B. Campbell
- Heather Cannon
- Skye Carlisle
- Kajol Ben Champaneri
- Charles E Atkins, Jr DMD
- Melissa Gray Clark
- Paula Clearman
- Julie Holley Coleman
- Kathryn Comans
- Amanda Gail Conerly
All providers in Philadelphia, MS · Pharmacist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.