Provider Demographics
NPI:1558454074
Name:EW JAMES & SONS, INC.
Entity Type:Organization
Organization Name:EW JAMES & SONS, INC.
Other - Org Name:EW JAMES PHARMACY #51
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST IN CHARGE
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:KEITH
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:270-769-9089
Mailing Address - Street 1:200 SAINT JOHN ROAD
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701
Mailing Address - Country:US
Mailing Address - Phone:270-769-9089
Mailing Address - Fax:270-769-9090
Practice Address - Street 1:200 SAINT JOHN ROAD
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701
Practice Address - Country:US
Practice Address - Phone:270-769-9089
Practice Address - Fax:270-769-9090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP06998333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY50008777OtherPASSPORT DME NUMBER
KY9000992900OtherDME MEDICAID NUMBER
KY54008818Medicaid
KY50008777OtherPASSPORT DME NUMBER