Provider Demographics
NPI:1669756656
Name:JAMES, CIJO C (RPH)
Entity type:Individual
Prefix:MR
First Name:CIJO
Middle Name:C
Last Name:JAMES
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 1:2604 SANTA ERICA ST
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-7161
Mailing Address - Country:US
Mailing Address - Phone:956-579-5750
Mailing Address - Fax:
Practice Address - Street 1:5326 E US HIGHWAY
Practice Address - Street 2:A 5
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-7858
Practice Address - Country:US
Practice Address - Phone:956-317-1112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-07
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC209191835P1200X
TX48336183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX48336OtherTEXAS PHARMACIST LICENSE