Provider Demographics
NPI:1114501814
Name:TITIUS, JAMES (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:TITIUS
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:290 N WAYTE LN STE 1500
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93701-2124
Mailing Address - Country:US
Mailing Address - Phone:559-459-4592
Mailing Address - Fax:
Practice Address - Street 1:290 N WAYTE LN STE 1500
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93701-2124
Practice Address - Country:US
Practice Address - Phone:559-459-4592
Practice Address - Fax:559-459-6110
Is Sole Proprietor?:No
Enumeration Date:2021-05-08
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH829611835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care