MEDICARE: JAMES A POKORNEY RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	1-12604	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164709473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES A POKORNEY RPH

Provider Business Mailing Address
First Line	:	6450 SPRINT PKWY
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66251-6105
Country	:	US
Telephone Number	:	913-315-6432
Fax Number	:	913-439-5990

Provider Business Practice Location Address
First Line	:	6450 SPRINT PKWY
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66251-6105
Country	:	US
Telephone Number	:	913-315-6432
Fax Number	:	913-439-5990

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2011
Last Update Date	:	11/15/2011

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