Provider Demographics
NPI:1275840290
Name:HANEY, JAMES WHITNEY III (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:WHITNEY
Last Name:HANEY
Suffix:III
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 1:704 S MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-3738
Mailing Address - Country:US
Mailing Address - Phone:252-702-5169
Mailing Address - Fax:
Practice Address - Street 1:505 S MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-2853
Practice Address - Country:US
Practice Address - Phone:252-551-9003
Practice Address - Fax:252-551-9012
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8299183500000X
SC5427183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist