Provider Demographics
NPI:1326635574
Name:JAMES, JASON RYAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:RYAN
Last Name:JAMES
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 1:211 KY 59
Mailing Address - Street 2:
Mailing Address - City:VANCEBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41179-7647
Mailing Address - Country:US
Mailing Address - Phone:606-796-2686
Mailing Address - Fax:606-796-6010
Practice Address - Street 1:211 KY 59
Practice Address - Street 2:
Practice Address - City:VANCEBURG
Practice Address - State:KY
Practice Address - Zip Code:41179-7647
Practice Address - Country:US
Practice Address - Phone:606-796-2686
Practice Address - Fax:606-796-6010
Is Sole Proprietor?:No
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY013652183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist