MEDICARE: CIARA JOYNER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	0202217065	VA

General Provider Information

NPI Number	:	1215558184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CIARA JOYNER

Provider Business Mailing Address
First Line	:	635 BRISA CT
Second Line	:
City	:	CHESAPEAKE
State	:	VA
Zip	:	23322-7157
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 N MAIN ST
Second Line	:
City	:	SUFFOLK
State	:	VA
Zip	:	23434-4352
Country	:	US
Telephone Number	:	757-539-4834
Fax Number	:	757-539-2076

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2020
Last Update Date	:	05/02/2020

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