Healthcare Provider Details

I. General information

NPI: 1962775007
Provider Name (Legal Business Name): JAMES HAROLD DRAPER IV PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2012
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 NW 12TH AVE
BATTLE GROUND WA
98604-9105
US

IV. Provider business mailing address

401 NW 12TH AVE
BATTLE GROUND WA
98604-9105
US

V. Phone/Fax

Practice location:
  • Phone: 360-666-5133
  • Fax: 360-666-5127
Mailing address:
  • Phone: 360-666-5133
  • Fax: 360-666-5127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License NumberPH00066630
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH00066630
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: