Active NPI
James Lewis Black Jr., RPH
- Pharmacist
- Roanoke, VA
National Provider Identifier
1225234487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202006583
- Practice address
- 2001 Crystal Spring Ave, Carilion Medical Center Phcy
Suite 110
Roanoke, VA 24014 - Phone
- (540) 853-0905
- Fax
- (540) 853-0910
- NPI assigned
- Jun 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202006583 | VA | Primary |
Addresses
Primary practice location
2001 Crystal Spring Ave, Carilion Medical Center Phcy
Suite 110
Roanoke, VA 24014
Mailing address
707 Marcus Rd
Rocky Mount, VA 24151-4309
Phone (540) 483-8513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202006583 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223596800000",
"number": "1225234487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 MARCUS RD",
"city": "ROCKY MOUNT",
"state": "VA",
"postal_code": "241514309",
"telephone_number": "540-483-8513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 CRYSTAL SPRING AVE, CARILION MEDICAL CENTER PHCY",
"address_2": "SUITE 110",
"city": "ROANOKE",
"state": "VA",
"postal_code": "24014",
"telephone_number": "540-853-0905",
"fax_number": "540-853-0910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "JAMES",
"middle_name": "LEWIS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-25",
"last_updated": "2008-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202006583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.