Provider Demographics
NPI:1104265248
Name:SHEARIN, JAMES COYE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:COYE
Last Name:SHEARIN
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 1:103 SILVER FOX CT
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-7224
Mailing Address - Country:US
Mailing Address - Phone:252-982-6248
Mailing Address - Fax:
Practice Address - Street 1:1002 N HARRISON AVE
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-3905
Practice Address - Country:US
Practice Address - Phone:919-467-1131
Practice Address - Fax:919-462-0519
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-21
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC23277183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC23277OtherNCBOP LICENSE