Provider Demographics
NPI:1720301377
Name:BREEDING, JAMES M (RPH)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:M
Last Name:BREEDING
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 1:3504 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NY
Mailing Address - Zip Code:13402-9730
Mailing Address - Country:US
Mailing Address - Phone:315-893-7590
Mailing Address - Fax:315-893-7590
Practice Address - Street 1:2018 GLENWOOD SHOPPING PLZ
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421-2715
Practice Address - Country:US
Practice Address - Phone:315-363-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048220183500000X
FL0011657183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist