Provider Demographics
NPI:1477020568
Name:SHOEMAKER, JAMES GREGORY (PHARMD, MHSA)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:GREGORY
Last Name:SHOEMAKER
Suffix:
Gender:M
Credentials:PHARMD, MHSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:436 CANTERBURY CIR
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-1561
Mailing Address - Country:US
Mailing Address - Phone:504-458-3013
Mailing Address - Fax:
Practice Address - Street 1:1290 W MAIN ST
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-8340
Practice Address - Country:US
Practice Address - Phone:989-732-0578
Practice Address - Fax:989-732-0743
Is Sole Proprietor?:No
Enumeration Date:2018-10-27
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP452940183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist