Healthcare Provider Details

I. General information

NPI: 1801781653
Provider Name (Legal Business Name): JOSEPH MICHAEL STOECKLE PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 DIXIE HWY
FT MITCHELL KY
41017-2902
US

IV. Provider business mailing address

2150 DIXIE HWY
FT MITCHELL KY
41017-2902
US

V. Phone/Fax

Practice location:
  • Phone: 859-331-0078
  • Fax:
Mailing address:
  • Phone: 849-331-0078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number025074
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number025074
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: