Provider Demographics
NPI:1417274374
Name:BYINGTON, JAMES JACOB (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:JACOB
Last Name:BYINGTON
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 1:6745 FULTON ST E
Mailing Address - Street 2:
Mailing Address - City:ADA
Mailing Address - State:MI
Mailing Address - Zip Code:49301-8107
Mailing Address - Country:US
Mailing Address - Phone:616-682-9100
Mailing Address - Fax:616-682-9400
Practice Address - Street 1:6745 FULTON ST E
Practice Address - Street 2:
Practice Address - City:ADA
Practice Address - State:MI
Practice Address - Zip Code:49301-8107
Practice Address - Country:US
Practice Address - Phone:616-682-9100
Practice Address - Fax:616-682-9400
Is Sole Proprietor?:No
Enumeration Date:2010-04-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302023106183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5302026106OtherPHARMACY