Healthcare Provider Details

I. General information

NPI: 1871924076
Provider Name (Legal Business Name): JOSIN JAMES PHARMD, RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2013
Last Update Date: 12/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2619 WILSHIRE BLVD UNIT 716
LOS ANGELES CA
90057-3451
US

IV. Provider business mailing address

2619 WILSHIRE BLVD UNIT 716
LOS ANGELES CA
90057-3451
US

V. Phone/Fax

Practice location:
  • Phone: 215-520-0930
  • Fax:
Mailing address:
  • Phone: 215-520-0930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number28RI03361300
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number28RI03361300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: