Provider Demographics
NPI:1396013348
Name:THAXTON, JAMES II (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:THAXTON
Suffix:II
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:518 DONELSON PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3729
Mailing Address - Country:US
Mailing Address - Phone:615-883-5108
Mailing Address - Fax:
Practice Address - Street 1:551 SCHROER DR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-5239
Practice Address - Country:US
Practice Address - Phone:901-292-5548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11407183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist