Provider Demographics
NPI:1427191915
Name:CUMMINS, JAMES C JR (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:C
Last Name:CUMMINS
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2810 LINDSEY DR.
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240
Mailing Address - Country:US
Mailing Address - Phone:270-889-8901
Mailing Address - Fax:270-821-0891
Practice Address - Street 1:14800 FORT CAMPBELL BLVD
Practice Address - Street 2:
Practice Address - City:OAK GROVE
Practice Address - State:KY
Practice Address - Zip Code:42262
Practice Address - Country:US
Practice Address - Phone:270-640-5848
Practice Address - Fax:270-640-5844
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY009350183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY5401103600Medicaid
KY54034376Medicaid