Active NPI
James M Graham, RPH
- Pharmacist
- Exton, PA
National Provider Identifier
1710117692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP042674R
- Practice address
- 201 Sunrise Blvd
Exton, PA 19341-2336 - Phone
- (610) 280-7276
- Fax
- (610) 280-7276
- NPI assigned
- Jul 25, 2009
- 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 | RP042674R | PA | Primary |
Addresses
Primary practice location
201 Sunrise Blvd
Exton, PA 19341-2336
Mailing address
201 Sunrise Blvd
Exton, PA 19341-2336
Phone (610) 280-7276
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01713450 | Medicaid | PA | |
| 3974626 | Other | PA | NABP |
| 064071282 | Other | PA | MEDICARE DME |
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 |
|---|---|---|---|
| RP042674R | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248480000000",
"number": "1710117692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 SUNRISE BLVD",
"city": "EXTON",
"state": "PA",
"postal_code": "193412336",
"telephone_number": "610-280-7276",
"fax_number": "610-280-7276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 SUNRISE BLVD",
"city": "EXTON",
"state": "PA",
"postal_code": "193412336",
"telephone_number": "610-280-7276",
"fax_number": "610-280-7276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM",
"first_name": "JAMES",
"middle_name": "M",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-25",
"last_updated": "2009-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP042674R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01713450",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "3974626",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME",
"identifier": "064071282",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Exton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.