Provider Demographics
NPI:1518541838
Name:KIGHAM, BERNINGEH F (PHARM D)
Entity Type:Individual
Prefix:
First Name:BERNINGEH
Middle Name:F
Last Name:KIGHAM
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:BERNINGEH
Other - Middle Name:FRINYUY
Other - Last Name:KIGHAM CHUKWURAH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM D
Mailing Address - Street 1:725 HEBRON PKWY
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-5001
Mailing Address - Country:US
Mailing Address - Phone:972-459-5906
Mailing Address - Fax:
Practice Address - Street 1:725 HEBRON PKWY
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-5001
Practice Address - Country:US
Practice Address - Phone:972-459-5906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50612183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist