Healthcare Provider Details

I. General information

NPI: 1821311457
Provider Name (Legal Business Name): JAMES ROBERT STANLEY PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2010
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 MICHIGAN ST NE FL 2
GRAND RAPIDS MI
49503-2514
US

IV. Provider business mailing address

35 MICHIGAN ST NE FL 2
GRAND RAPIDS MI
49503-2514
US

V. Phone/Fax

Practice location:
  • Phone: 616-267-1094
  • Fax:
Mailing address:
  • Phone: 616-267-1094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number5302043761
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: