James Charles Gallwey, PHARM.D.
Individual provider Active NPI Pharmacist · Represa, CA
NPI 1013330810 · NPPES record last updated Jan 29, 2014
Key facts
- NPI
- 1013330810
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 57036 (CA)
- Practice address
- 100 Prison Rd
Represa, CA 95671-3000 - Phone
- (916) 985-8610
- Fax
- (916) 294-3114
- NPI assigned
- Jan 29, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Corrections and Rehabilitation-Headquarters | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 57036 | CA | Yes |
Addresses
Primary practice location
100 Prison Rd
Represa, CA 95671-3000
Mailing address
101 Lost Lake CT
Folsom, CA 95630-7105
Phone (916) 985-8610
Other providers in Represa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.