Healthcare Provider Details

I. General information

NPI: 1396008298
Provider Name (Legal Business Name): JAMES B HOBBS JR. PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2012
Last Update Date: 06/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

289 IRELAND AVE
FORT KNOX KY
40121-5111
US

IV. Provider business mailing address

289 IRELAND AVE
FORT KNOX KY
40121-5111
US

V. Phone/Fax

Practice location:
  • Phone: 502-624-9342
  • Fax:
Mailing address:
  • Phone: 502-624-9342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number012698
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number012698
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: