Healthcare Provider Details

I. General information

NPI: 1538090808
Provider Name (Legal Business Name): JOEL DAVID HINDY
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

401 MATTHEW ST
MARIETTA OH
45750-1635
US

IV. Provider business mailing address

503 FAIRVIEW AVE
BEVERLY OH
45715-8904
US

V. Phone/Fax

Practice location:
  • Phone: 740-374-1446
  • Fax:
Mailing address:
  • Phone: 740-374-1446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number03441403
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: