Healthcare Provider Details

I. General information

NPI: 1538292297
Provider Name (Legal Business Name): JOEL ROBERT BEGERT PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 MAIN ST
CALEDONIA NY
14423-1218
US

IV. Provider business mailing address

1405 HILL PARK CT
CHURCHVILLE NY
14428-9480
US

V. Phone/Fax

Practice location:
  • Phone: 585-538-6140
  • Fax:
Mailing address:
  • Phone: 585-721-2549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051373
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: