Provider Demographics
NPI:1548555287
Name:SENTERS, JONATHAN D (PHARMD)
Entity type:Individual
Prefix:
First Name:JONATHAN
Middle Name:D
Last Name:SENTERS
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 1:12975 SHELBYVILLE RD
Mailing Address - Street 2:T-2728
Mailing Address - City:MIDDLETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40243-2405
Mailing Address - Country:US
Mailing Address - Phone:502-992-1238
Mailing Address - Fax:502-992-1248
Practice Address - Street 1:12975 SHELBYVILLE ROAD
Practice Address - Street 2:T-2728
Practice Address - City:MIDDLETOWN
Practice Address - State:KY
Practice Address - Zip Code:40243
Practice Address - Country:US
Practice Address - Phone:502-992-1238
Practice Address - Fax:502-992-1248
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY015029183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist