Provider Demographics
NPI:1194311829
Name:CHINTALA, SANKEERTH REDDY (PHARMD)
Entity type:Individual
Prefix:
First Name:SANKEERTH
Middle Name:REDDY
Last Name:CHINTALA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 COMPTON LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-8446
Mailing Address - Country:US
Mailing Address - Phone:859-466-7267
Mailing Address - Fax:
Practice Address - Street 1:9101 CAROTHERS PKWY
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-6308
Practice Address - Country:US
Practice Address - Phone:615-771-2029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-16
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN42412183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist