Provider Demographics
NPI:1881712644
Name:NASH, JAMES MICHAEL (PHARMD, AACC, BCPS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MICHAEL
Last Name:NASH
Suffix:
Gender:M
Credentials:PHARMD, AACC, BCPS
Other - Prefix:DR
Other - First Name:J
Other - Middle Name:MICHAEL
Other - Last Name:NASH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD,AACC, BCPS
Mailing Address - Street 1:3501 JOHNSON ST
Mailing Address - Street 2:MEMORIAL REGIONAL HOSP / DEPT OF PHARMACY SERVICES
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-5421
Mailing Address - Country:US
Mailing Address - Phone:954-265-5631
Mailing Address - Fax:954-986-5408
Practice Address - Street 1:3501 JOHNSON ST
Practice Address - Street 2:MEMORIAL REGIONAL HOSP / DEPT OF PHARMACY SERVICES
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-5421
Practice Address - Country:US
Practice Address - Phone:954-265-5631
Practice Address - Fax:954-986-5408
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS37726183500000X, 1835P1200X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist