James Lynn Tiner
Individual provider Active NPI Pharmacist · Wharton, TX
NPI 1174125751 · NPPES record last updated Nov 10, 2020
Key facts
- NPI
- 1174125751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 23377 (TX)
- Practice address
- 1255 Highway 59 Loop N
Wharton, TX 77488-7810 - Phone
- (979) 532-0641
- Fax
- (979) 532-0689
- NPI assigned
- Nov 10, 2020
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 23377 | TX | Yes |
Addresses
Primary practice location
1255 Highway 59 Loop N
Wharton, TX 77488-7810
Mailing address
1706 Lakefield Dr
Sealy, TX 77474-8654
Phone (979) 877-9977
Other providers in Wharton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2020. 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.