James G Derifield, RPH is a
Pharmacist based in So.st.paul, Minnesota. James G Derifield is licensed to practice in Minnesota (license number 111151) and his current practice location is
102 5th Ave. No, So.st.paul, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(651) 455-4140.
NPI number for James G Derifield is 1114242690 and his current mailing address is 102 5th Avenue So., So.st.paul, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114242690.
Healthcare Provider's Profile
| Full Name | James G Derifield |
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| Gender | Male |
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| Speciality | Pharmacist |
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| Location | 102 5th Ave. No, So.st.paul, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114242690
- Provider Enumeration Date: 03/29/2010
- Last Update Date: 03/29/2010
Medical Identifiers
Medical identifiers for James G Derifield such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114242690 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 111151 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. James G Derifield is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
James G Derifield, RPH
102 5th Avenue So.,
So.st.paul, MN 55075
Ph: (651) 455-4140 | James G Derifield, RPH
102 5th Ave. No,
So.st.paul, MN 55075
Ph: (651) 455-4140 |
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