Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Chomanard A Khantaveth, PHARMD

Individual provider Pharmacist · NPI 1023367380

Dr. Chomanard A Khantaveth, PHARMD is a Pharmacist in Fort Myers, Florida. Licensed in Florida. Registered with an NPI since 2012.

Licensed in
FL
In the registry since
2012
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

10000 Gulf Center Dr
Fort Myers, FL 33913-8961
Phone: (239) 432-2656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS49714 (FL)

Record details

NPI number1023367380
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedSeptember 2, 2012
Last updated in NPPESSeptember 2, 2012

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