Provider Demographics
NPI:1538178918
Name:BECKNELL, JAMES RICE (BS, PHARMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:RICE
Last Name:BECKNELL
Suffix:
Gender:M
Credentials:BS, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:743 PETTUS RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35757-7615
Mailing Address - Country:US
Mailing Address - Phone:256-721-4005
Mailing Address - Fax:
Practice Address - Street 1:743 PETTUS RD
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35757-7615
Practice Address - Country:US
Practice Address - Phone:256-721-4005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10015183500000X
FLPS24246183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL10015OtherPHARMACIST LICENSE NUMBER
FLPS24246OtherPHARMACIST LICENSE NUMBER