Healthcare Provider Details

I. General information

NPI: 1780736868
Provider Name (Legal Business Name): JOSEPH VENNARI PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 PERIMETER DR
LEXINGTON KY
40517-4134
US

IV. Provider business mailing address

3800 HORSE MINT TRL
LEXINGTON KY
40509-2948
US

V. Phone/Fax

Practice location:
  • Phone: 859-268-5350
  • Fax:
Mailing address:
  • Phone: 859-263-5319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number012062
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: