Healthcare Provider Details

I. General information

NPI: 1699599274
Provider Name (Legal Business Name): JOSHUA SEMOCK PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/11/2024
Last Update Date: 09/20/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2586 LAWRENCEVILLE HWY
DECATUR GA
30033-3229
US

IV. Provider business mailing address

1227 HIGHLAND LAKE CIR
DECATUR GA
30033-3461
US

V. Phone/Fax

Practice location:
  • Phone: 770-491-8616
  • Fax:
Mailing address:
  • Phone: 847-624-2699
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number073947
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: