Healthcare Provider Details

I. General information

NPI: 1730174798
Provider Name (Legal Business Name): JAMES ELLIOTT MCVEY PD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 GREENWOOD AVE
HOT SPRINGS AR
71913-4428
US

IV. Provider business mailing address

834 LAKESHORE DR
HOT SPRINGS AR
71913-6745
US

V. Phone/Fax

Practice location:
  • Phone: 501-321-1617
  • Fax: 501-321-1755
Mailing address:
  • Phone: 501-525-4059
  • Fax: 501-525-4059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5509
License Number StateAR
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number17959
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: