Healthcare Provider Details

I. General information

NPI: 1184724668
Provider Name (Legal Business Name): JAMES DAVID NASH PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2006
Last Update Date: 06/24/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 GARDINER LN
LOUISVILLE KY
40205-2962
US

IV. Provider business mailing address

6301 HOLSTEIN CT
PROSPECT KY
40059-7516
US

V. Phone/Fax

Practice location:
  • Phone: 502-413-8975
  • Fax: 502-515-4669
Mailing address:
  • Phone: 502-429-6317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number012812
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License NumberPS 32857
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number16249
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: