Provider Demographics
NPI:1497818421
Name:ONEIL, JAMES H (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:H
Last Name:ONEIL
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 1:45 MAURICE ST
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-4749
Mailing Address - Country:US
Mailing Address - Phone:724-437-8404
Mailing Address - Fax:724-245-6211
Practice Address - Street 1:5 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW SALEM
Practice Address - State:PA
Practice Address - Zip Code:15468
Practice Address - Country:US
Practice Address - Phone:724-245-8414
Practice Address - Fax:724-245-6211
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP029607L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0005793110001Medicaid
PA0005793110001Medicaid