Provider Demographics
NPI:1922548395
Name:MEYER, JAMES (PHARMD, MS, CCN)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:MEYER
Suffix:
Gender:M
Credentials:PHARMD, MS, CCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13860 N US HIGHWAY 183
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1203
Mailing Address - Country:US
Mailing Address - Phone:512-219-8600
Mailing Address - Fax:512-219-6770
Practice Address - Street 1:13860 N US HIGHWAY 183
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1203
Practice Address - Country:US
Practice Address - Phone:512-219-8600
Practice Address - Fax:512-219-6770
Is Sole Proprietor?:No
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX387391835N1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835N1003XPharmacy Service ProvidersPharmacistNutrition Support