Provider Demographics
NPI:1730174798
Name:MCVEY, JAMES ELLIOTT (PD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ELLIOTT
Last Name:MCVEY
Suffix:
Gender:M
Credentials:PD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:834 LAKESHORE DR
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-6745
Mailing Address - Country:US
Mailing Address - Phone:501-525-4059
Mailing Address - Fax:501-525-4059
Practice Address - Street 1:117 GREENWOOD AVE
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-4428
Practice Address - Country:US
Practice Address - Phone:501-321-1617
Practice Address - Fax:501-321-1755
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR5509183500000X
TX17959183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist