Provider Demographics
NPI:1417261009
Name:BLESSING, JAMES KENNETH (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:KENNETH
Last Name:BLESSING
Suffix:
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 1:907 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:MILLVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08332-3762
Mailing Address - Country:US
Mailing Address - Phone:856-825-7742
Mailing Address - Fax:856-825-2462
Practice Address - Street 1:907 N HIGH ST
Practice Address - Street 2:
Practice Address - City:MILLVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08332-3762
Practice Address - Country:US
Practice Address - Phone:856-825-7742
Practice Address - Fax:856-825-2462
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02174100183500000X
PARP027654L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist