James Irick Tredway, PHARMD
Individual provider Active NPI Pharmacist · Hawkins, TX
NPI 1962840710 · NPPES record last updated Jun 13, 2013
Key facts
- NPI
- 1962840710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 49410 (TX)
- Practice address
- 1477 N Beaulah St
Hawkins, TX 75765-3111 - Phone
- (903) 769-3344
- Fax
- (903) 769-2885
- NPI assigned
- Jun 13, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49410 | TX | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 49410 | TX | Yes |
Addresses
Primary practice location
1477 N Beaulah St
Hawkins, TX 75765-3111
Mailing address
PO Box 1011
Gilmer, TX 75644-1011
Other providers in Hawkins, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2013. 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.