Healthcare Provider Details

I. General information

NPI: 1497660963
Provider Name (Legal Business Name): KAVITA SHANTAL SEWNATH PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16807 FOREST RD
FOREST VA
24551-4915
US

IV. Provider business mailing address

177 THICKET DR
LYNCHBURG VA
24501-2480
US

V. Phone/Fax

Practice location:
  • Phone: 434-209-6043
  • Fax:
Mailing address:
  • Phone: 321-440-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number0202223671
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: