Mart W James, DPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

4678 Issued in TN

Practice address

1502 Brayton Ave
Dyersburg, TN 38024-3159

Phone

(731) 285-7267

Fax

(731) 287-0438

NPI assigned

Aug 15, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• James and Wilks Pharmacy LLC

  • Community/Retail Pharmacy
  • Dyersburg, TN
  • NPI 1891123675
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1306078936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 MALL BLVD STE A",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241649",
            "telephone_number": "731-286-2025",
            "fax_number": "731-882-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 BRAYTON AVE",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243159",
            "telephone_number": "731-285-7267",
            "fax_number": "731-287-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "MART",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-15",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "4678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Madison County General
• Evelyn Nicole Jackson
• Christi L Jacobi, PHARMD
• Angeli Jain, MD
• James and Wilks Pharmacy LLC
• Zachry Jarrell, DPT
• Tammy Javellana, F.N.P
• Jeremy Wayne Gatlin
• Pagela Jobe
• John Mark Bowers

• Pharmacist in Dyersburg, TN
• Providers in Dyersburg, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.