Provider Demographics
NPI:1407130115
Name:JAMES, TAKEESA DANIELLE (PHARM D)
Entity Type:Individual
Prefix:MS
First Name:TAKEESA
Middle Name:DANIELLE
Last Name:JAMES
Suffix:
Gender:F
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 1:1619 KING DRIVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122
Mailing Address - Country:US
Mailing Address - Phone:504-915-4617
Mailing Address - Fax:504-523-9425
Practice Address - Street 1:620 DECATUR ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-1010
Practice Address - Country:US
Practice Address - Phone:504-523-9424
Practice Address - Fax:504-523-9425
Is Sole Proprietor?:No
Enumeration Date:2011-09-30
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16972183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist