Basic Information
Provider Information
NPI: 1205109089
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PLIMPER
FirstName: JAMES
MiddleName: STEPHEN
NamePrefix: DR.
NameSuffix:  
Credential: PHARM.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 102 N FRIENDSWOOD DR
Address2:  
City: FRIENDSWOOD
State: TX
PostalCode: 775463747
CountryCode: US
TelephoneNumber: 2819923431
FaxNumber: 2819924080
Practice Location
Address1: 102 N FRIENDSWOOD DR
Address2:  
City: FRIENDSWOOD
State: TX
PostalCode: 775463747
CountryCode: US
TelephoneNumber: 2819923431
FaxNumber: 2819924080
Other Information
ProviderEnumerationDate: 02/09/2012
LastUpdateDate: 02/09/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X46187TXY Pharmacy Service ProvidersPharmacist 

No ID Information.


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