Provider Demographics
NPI:1033415575
Name:KERMES, JAMES R JR (PHARMD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:R
Last Name:KERMES
Suffix:JR
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 1:1305 MATTHEWS TOWNSHIP PKWY
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-4600
Mailing Address - Country:US
Mailing Address - Phone:704-847-8508
Mailing Address - Fax:704-841-1677
Practice Address - Street 1:1305 MATTHEWS TOWNSHIP PKWY
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-4600
Practice Address - Country:US
Practice Address - Phone:704-847-8508
Practice Address - Fax:704-841-1677
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15547183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist