Provider Demographics
NPI:1891078267
Name:SINGLETARY, JAMES C (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:C
Last Name:SINGLETARY
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 1:4210 BRIARWOOD RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4036
Mailing Address - Country:US
Mailing Address - Phone:502-241-1934
Mailing Address - Fax:
Practice Address - Street 1:990 BAXTER AVE
Practice Address - Street 2:WALGREENS
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40204
Practice Address - Country:US
Practice Address - Phone:502-585-3239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-22
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY008049183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist