Healthcare Provider Details

I. General information

NPI: 1306675624
Provider Name (Legal Business Name): JOSEPH PAUL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2024
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4506 BRANDT PIKE
DAYTON OH
45424-6071
US

IV. Provider business mailing address

3559 CONIFER CIR
HUBER HEIGHTS OH
45424-8732
US

V. Phone/Fax

Practice location:
  • Phone: 937-233-8930
  • Fax:
Mailing address:
  • Phone: 937-867-9181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03444484
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03444484
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: