Provider Demographics
NPI:1205286473
Name:VALENTI, JAMES
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:VALENTI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 LAKESHORE DR
Mailing Address - Street 2:APARTMENT B3
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032-1246
Mailing Address - Country:US
Mailing Address - Phone:603-440-3443
Mailing Address - Fax:
Practice Address - Street 1:308 MAIN STREET EXT
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-4406
Practice Address - Country:US
Practice Address - Phone:860-344-1857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-17
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0013434183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist