Provider Demographics
NPI:1619359692
Name:JAMES, JOEL (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:
Last Name:JAMES
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3808 GUESS RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-1506
Mailing Address - Country:US
Mailing Address - Phone:919-620-1947
Mailing Address - Fax:919-620-9518
Practice Address - Street 1:3808 GUESS RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-1506
Practice Address - Country:US
Practice Address - Phone:919-620-1947
Practice Address - Fax:919-620-9518
Is Sole Proprietor?:No
Enumeration Date:2015-06-25
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC06364183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCBF7566055OtherBLUE CROSS AND BLUE SHEILD