Provider Demographics
NPI:1003971482
Name:SIPOWICZ, JAMES E (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:E
Last Name:SIPOWICZ
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 1:7198 PENDALE CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-9717
Mailing Address - Country:US
Mailing Address - Phone:716-693-3542
Mailing Address - Fax:
Practice Address - Street 1:2100 WEHRLE DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7039
Practice Address - Country:US
Practice Address - Phone:716-630-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-26
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY40730183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist