Healthcare Provider Details

I. General information

NPI: 1295059509
Provider Name (Legal Business Name): JAMES HENRY PURCELL R.PH.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2010
Last Update Date: 03/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 HETCHELTOWN RD
SCOTIA NY
12302-5506
US

IV. Provider business mailing address

2224 BARCELONA RD
SCHENECTADY NY
12309-5324
US

V. Phone/Fax

Practice location:
  • Phone: 518-384-3635
  • Fax: 518-384-1637
Mailing address:
  • Phone: 518-370-5233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number036463-1
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: