Healthcare Provider Details

I. General information

NPI: 1932468832
Provider Name (Legal Business Name): JOSEPH D SPENCER PHARM. D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2012
Last Update Date: 04/05/2025
Certification Date: 04/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 DOCTORS DR
CLEARFIELD PA
16830-1240
US

IV. Provider business mailing address

809 TURNPIKE AVE
CLEARFIELD PA
16830-1232
US

V. Phone/Fax

Practice location:
  • Phone: 814-768-2839
  • Fax:
Mailing address:
  • Phone: 814-768-2265
  • Fax: 814-768-2367

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP445786
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: