Individual provider Active NPI

James Preston Jr., PHARMD,BCPS,RPHWMTS

  • Pharmacotherapy Pharmacist
  • Saint Louis, MO
National Provider Identifier
1811361454
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
041512 Issued in MO
Practice address
915 N. Grand VLVD
Pharmacy Dept., John Cochran VA Medical Center
Saint Louis, MO 63106
Phone
(314) 330-3562
NPI assigned
Nov 19, 2015
Last updated
Nov 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 041512 MO Primary

Addresses

Primary practice location

915 N. Grand VLVD
Pharmacy Dept., John Cochran VA Medical Center
Saint Louis, MO 63106

Mailing address

915 N. Grand VLVD
Pharmacy Dept., John Cochran VA Medical Center
Saint Louis, MO 63106
Phone (314) 330-3562

Other identifiers 4

IdentifierTypeStateIssuer
041512OtherMORPH W/MTS
294160OtherILRPH
294160OtherDCBCPS
17043OtherIARPH

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
041512MOMDPharmacotherapy Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1811361454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N. GRAND VLVD",
            "address_2": "PHARMACY DEPT., JOHN COCHRAN VA MEDICAL CENTER",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63106",
            "telephone_number": "314-330-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N. GRAND VLVD",
            "address_2": "PHARMACY DEPT., JOHN COCHRAN VA MEDICAL CENTER",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63106",
            "telephone_number": "314-330-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESTON",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHARMD,BCPS,RPHWMTS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MO",
            "license": "041512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH W/MTS",
            "identifier": "041512",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH",
            "identifier": "294160",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCPS",
            "identifier": "294160",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH",
            "identifier": "17043",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.