Provider Demographics
NPI:1831799741
Name:HAMMOND, CHEYIANNA (PHARMD)
Entity type:Individual
Prefix:
First Name:CHEYIANNA
Middle Name:
Last Name:HAMMOND
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 1:3924 PARKMEAD DR APT 209
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-4028
Mailing Address - Country:US
Mailing Address - Phone:330-412-2707
Mailing Address - Fax:740-774-1027
Practice Address - Street 1:85 RIVER TRACE
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601
Practice Address - Country:US
Practice Address - Phone:740-774-2343
Practice Address - Fax:740-774-1027
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03439944183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist