Provider Demographics
NPI:1356727960
Name:THOMAS, JAMES RAYMOND (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RAYMOND
Last Name:THOMAS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2704 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44505-1820
Mailing Address - Country:US
Mailing Address - Phone:330-759-2062
Mailing Address - Fax:
Practice Address - Street 1:2704 BELMONT AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44505-1820
Practice Address - Country:US
Practice Address - Phone:330-759-2062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-05
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0014682183500000X
PARP449261183500000X
OH03233972183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist