Provider Demographics
NPI:1083837074
Name:JAMES, NATHANIEL (RPH)
Entity type:Individual
Prefix:
First Name:NATHANIEL
Middle Name:
Last Name:JAMES
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 ORCHARD PARK RD
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-2634
Mailing Address - Country:US
Mailing Address - Phone:716-827-8341
Mailing Address - Fax:716-827-8383
Practice Address - Street 1:349 ORCHARD PARK RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-2634
Practice Address - Country:US
Practice Address - Phone:716-827-8341
Practice Address - Fax:716-827-8383
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037152183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist