Provider Demographics
NPI:1043199789
Name:MIKE, CHANKIRA (PHARMD)
Entity type:Individual
Prefix:
First Name:CHANKIRA
Middle Name:
Last Name:MIKE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7235 HIGHWAY 431 S APT 1106
Mailing Address - Street 2:
Mailing Address - City:BIG COVE
Mailing Address - State:AL
Mailing Address - Zip Code:35763-3303
Mailing Address - Country:US
Mailing Address - Phone:601-397-5966
Mailing Address - Fax:
Practice Address - Street 1:101 SIVLEY RD SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4421
Practice Address - Country:US
Practice Address - Phone:256-265-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL24249183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist