Provider Demographics
NPI:1215452321
Name:POKORNY, JAMES THOMAS III (PHARMD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:THOMAS
Last Name:POKORNY
Suffix:III
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 1:226 HAWKINS RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-4317
Mailing Address - Country:US
Mailing Address - Phone:931-206-2419
Mailing Address - Fax:
Practice Address - Street 1:1560 DONELSON PKWY
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:TN
Practice Address - Zip Code:37058-3731
Practice Address - Country:US
Practice Address - Phone:931-232-5096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-09
Last Update Date:2017-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN41203183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist