Healthcare Provider Details

I. General information

NPI: 1518563873
Provider Name (Legal Business Name): JOSHUA GOSKOWSKY PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2020
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9950 BERBERICH DR
FLORENCE KY
41042-3275
US

IV. Provider business mailing address

9950 BERBERICH DR
FLORENCE KY
41042-3275
US

V. Phone/Fax

Practice location:
  • Phone: 859-372-3490
  • Fax: 859-372-3494
Mailing address:
  • Phone: 859-372-3490
  • Fax: 859-372-3494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number021785
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number26029147A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03440142
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: