MR. JAMES LEWIS BLACK JR. (NPI# 1225234487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225234487 |
| Entity Type | Individual |
| Full Name | MR. JAMES LEWIS BLACK JR. |
| Credential | RPH |
| Practice Address |
2001 Crystal Spring Ave, Carilion Medical Center Phcy Suite 110 Roanoke VA 24014 |
| Mailing Address |
707 Marcus Rd Rocky Mount VA 24151-4309 |
| Practice Telephone | 5408530905 |
| Practice Fax Number | 5408530910 |
| Mailing Telephone | 5404838513 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2008-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0202006583 | VA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043452741 | James Clinton Black | Orthopaedic Surgery | 480 Floyd Rd Ste A, Spartanburg, SC 29307-1518 | 2009-03-27 |
| 1053558684 | James Black | Physical Therapy Assistant | 213 California Ct, Mission Viejo, CA 92692-4082 | 2009-01-20 |
| 1790803674 | James C. Black | Psychologist | 815 W Hamlet Ave, Hamlet, NC 28345-2507 | 2007-03-27 |
| 1114088341 | James Henry Black | Psychologist | 310 N Midvale Blvd, Suite 202, Madison, WI 53705-3265 | 2006-12-12 |
| 1114095346 | James N Black | Internal Medicine | 520 Craig Ln, Villanova, PA 19085-1902 | 2006-12-04 |
| 1033297320 | James Joseph Black | Psychologist | 227 N 18th St, Philadelphia, PA 19103-1212 | 2006-11-02 |
| 1679662795 | James Dennis Black | Dentist | 1044 12th St, Tell City, IN 47586-1606 | 2006-10-12 |
| 1821000191 | James Black | Specialist | 22930 Crenshaw Blvd Ste D, Torrance, CA 90505-3048 | 2006-08-13 |
| 1073547170 | James Edward Black | Dentist | 250 East Wentworth Avenue, West St Paul, MN 55118-3525 | 2006-07-11 |
| 1316905987 | James A Black | Otolaryngology | 2517 Canterbury, Hays, KS 67601 | 2006-05-03 |
| Street Address |
2001 CRYSTAL SPRING AVE, CARILION MEDICAL CENTER PHCY SUITE 110 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104022359 | Tammy Michelle Degraff | Pharmacist | 2001 Crystal Spring Ave, Carilion Medical Center Phcy, Suite 110, Roanoke, VA 24014 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1609402239 | Xuan Huyen Nguyen | Pharmacist | 4412 Elmgreen Dr, Roanoke, TX 76262-2709 | 2020-03-16 |
| 1225506108 | Jessica Saville | Pharmacist | 101 Elm Ave Se Fl 1, Roanoke, VA 24013-2222 | 2018-11-08 |
| 1972071439 | Jessica Lynn Schad | Pharmacist | 1906 Belleview Ave Se Fl 14, Roanoke, VA 24014-1838 | 2018-11-02 |
| 1851833545 | Rual Fuller Jr. | Pharmacist | 3419 Orange Ave Ne, Roanoke, VA 24012-6422 | 2016-11-10 |
| 1538576053 | Sarah Webb | Pharmacist | 2141 Dale Ave Se, Roanoke, VA 24013-2135 | 2014-07-16 |
| 1881011203 | Neeraja Iyer | Pharmacist | 1932 Summerfield Dr, Roanoke, VA 24012-6768 | 2014-03-24 |
| 1023434958 | Michael Elgohary | Pharmacist | 3114 Honeywood Ln Apt A, Roanoke, VA 24018 | 2014-03-17 |
| 1255755419 | Sam Fontinel | Pharmacist | 5512 Capulet Ct, Roanoke, VA 24018-9368 | 2014-02-08 |
| 1578987871 | Chad Evan Musick | Pharmacist | 3533 Freanklin Rd Sw, Roanoke, VA 26013 | 2014-02-07 |
| Find all providers in ROANOKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.