=====================================================
General NPI Number Information
=====================================================
NPI Number | 1285432211
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JAMES RICHARD DEAL PHARMD.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/05/2025
-----------------------------------------------------
Last Update Date | 03/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2101 7TH ST
-----------------------------------------------------
City | WASCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93280-1502
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 866-707-6664
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11725 HELIOTROPE CT
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93311-8751
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-496-7918
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number | 52665
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------