Provider Demographics
NPI:1699045591
Name:FIEBERT, JAMES (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:FIEBERT
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:PO BOX 800674
Mailing Address - Street 2:DEPARTMENT OF PHARMACY SERVICES
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22908-0674
Mailing Address - Country:US
Mailing Address - Phone:434-465-1773
Mailing Address - Fax:
Practice Address - Street 1:1215 LEE ST
Practice Address - Street 2:DEPARTMENT OF PHARMACY SERVICES
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-0674
Practice Address - Country:US
Practice Address - Phone:434-465-1773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-09
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202211604183500000X
NY056372183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist