Healthcare Provider Details

I. General information

NPI: 1831775998
Provider Name (Legal Business Name): JAMES BARNES IV RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2021
Last Update Date: 08/22/2022
Certification Date: 08/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14100 SPRING CYPRESS RD
CYPRESS TX
77429-6286
US

IV. Provider business mailing address

7405 FM 1960 RD E
HUMBLE TX
77346-3128
US

V. Phone/Fax

Practice location:
  • Phone: 281-376-2428
  • Fax:
Mailing address:
  • Phone: 281-812-4729
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number71082
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: