Provider Demographics
NPI:1851809164
Name:GENTRY, RHONDA REICHERT (RPH)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:REICHERT
Last Name:GENTRY
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5214 VERDE VISTA CIR
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-4531
Mailing Address - Country:US
Mailing Address - Phone:828-275-1113
Mailing Address - Fax:
Practice Address - Street 1:5214 VERDE VISTA CIR
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-4531
Practice Address - Country:US
Practice Address - Phone:828-275-1113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-21
Last Update Date:2018-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC125001835G0303X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835G0303XPharmacy Service ProvidersPharmacistGeriatric