Provider Demographics
NPI:1477963890
Name:CHENEY, JAMES (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:CHENEY
Suffix:
Gender:M
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2777 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49202-1239
Mailing Address - Country:US
Mailing Address - Phone:517-783-0033
Mailing Address - Fax:
Practice Address - Street 1:2777 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49202-1239
Practice Address - Country:US
Practice Address - Phone:517-783-0033
Practice Address - Fax:517-783-0065
Is Sole Proprietor?:No
Enumeration Date:2014-05-07
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI53024107291835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy