MEDICARE: MR. JAMES C. CUMMINS JR. 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	009350	KY

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	:	1427191915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES C. CUMMINS JR. RPH

Provider Business Mailing Address
First Line	:	2810 LINDSEY DR.
Second Line	:
City	:	HOPKINSVILLE
State	:	KY
Zip	:	42240
Country	:	US
Telephone Number	:	270-889-8901
Fax Number	:	270-821-0891

Provider Business Practice Location Address
First Line	:	14800 FORT CAMPBELL BLVD
Second Line	:
City	:	OAK GROVE
State	:	KY
Zip	:	42262
Country	:	US
Telephone Number	:	270-640-5848
Fax Number	:	270-640-5844

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

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	09/29/2022

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