Provider Demographics
NPI:1568557031
Name:E. W. JAMES AND SONS, INC
Entity Type:Organization
Organization Name:E. W. JAMES AND SONS, INC
Other - Org Name:E W. JAMES PHARMACY #55
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SIMMS
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:270-365-3793
Mailing Address - Street 1:550 U. S. HWY 62 WEST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:KY
Mailing Address - Zip Code:42445
Mailing Address - Country:US
Mailing Address - Phone:270-365-3793
Mailing Address - Fax:270-365-3896
Practice Address - Street 1:550 U. S. HWY 62 WEST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:KY
Practice Address - Zip Code:42445
Practice Address - Country:US
Practice Address - Phone:270-365-3793
Practice Address - Fax:270-365-3896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYP070033336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY54008933Medicaid
KY90009655Medicare ID - Type UnspecifiedMEDICARE PART B