Healthcare Provider Details

I. General information

NPI: 1972803187
Provider Name (Legal Business Name): JAMES P MCCABE RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2010
Last Update Date: 09/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 ADELINE ST
OAKLAND CA
94607
US

IV. Provider business mailing address

4854 MUIRWOOD DR
PLEASANTON CA
94588-4237
US

V. Phone/Fax

Practice location:
  • Phone: 510-835-9610
  • Fax: 510-836-7799
Mailing address:
  • Phone: 925-963-0710
  • Fax: 623-869-1628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH 46025
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: