James V Borrelli, RPH
Individual provider Active NPI Pharmacist · Vincent, OH
NPI 1124310552 · NPPES record last updated Apr 20, 2017
Key facts
- NPI
- 1124310552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 16229 (OH)
- Practice address
- 8465 State Route 339
Vincent, OH 45784-5647 - Phone
- (740) 678-2384
- Fax
- (740) 678-2962
- NPI assigned
- May 3, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16229 | OH | MD | Pharmacist |
| 4423 | WV | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16229 | OH | Yes |
| Pharmacist | 183500000X | 4423 | WV |
Addresses
Primary practice location
8465 State Route 339
Vincent, OH 45784-5647
Mailing address
8465 State Route 339
Vincent, OH 45784-5647
Phone (740) 678-2384
Other providers in Vincent, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2017. 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.