Provider Demographics
NPI:1700468097
Name:OAKS, JAMES STEVEN (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:STEVEN
Last Name:OAKS
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 1:1405 BONNIE VIEW TER
Mailing Address - Street 2:
Mailing Address - City:KEYSER
Mailing Address - State:WV
Mailing Address - Zip Code:26726-2801
Mailing Address - Country:US
Mailing Address - Phone:301-876-0985
Mailing Address - Fax:304-788-5989
Practice Address - Street 1:1405 BONNIE VIEW TER
Practice Address - Street 2:
Practice Address - City:KEYSER
Practice Address - State:WV
Practice Address - Zip Code:26726-2801
Practice Address - Country:US
Practice Address - Phone:301-876-0985
Practice Address - Fax:304-788-5989
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD104771835P0018X
WVRP00043861835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist