Provider Demographics
NPI:1780907808
Name:KITTS, JAMES J (RPH)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:J
Last Name:KITTS
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 1:5 THISTLEDOWN CT
Mailing Address - Street 2:
Mailing Address - City:LOUDONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12211-1947
Mailing Address - Country:US
Mailing Address - Phone:518-505-7597
Mailing Address - Fax:
Practice Address - Street 1:428 BALLTOWN RD
Practice Address - Street 2:TARGET 1521
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12304-2245
Practice Address - Country:US
Practice Address - Phone:518-346-8670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025928-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist