Provider Demographics
NPI:1972803187
Name:MCCABE, JAMES P (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:MCCABE
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 1:4854 MUIRWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-4237
Mailing Address - Country:US
Mailing Address - Phone:925-963-0710
Mailing Address - Fax:623-869-1628
Practice Address - Street 1:700 ADELINE ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94607
Practice Address - Country:US
Practice Address - Phone:510-835-9610
Practice Address - Fax:510-836-7799
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH 46025183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist