Healthcare Provider Details

I. General information

NPI: 1356632814
Provider Name (Legal Business Name): JAMES MICHAEL SYKES RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2011
Last Update Date: 05/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 SOUTH MAIN ST
KING NC
27021-9016
US

IV. Provider business mailing address

4902 WILLOW CREEK DR N
WILSON NC
27896-9190
US

V. Phone/Fax

Practice location:
  • Phone: 336-983-2186
  • Fax:
Mailing address:
  • Phone: 252-289-6299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number7492
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: