Healthcare Provider Details

I. General information

NPI: 1699774612
Provider Name (Legal Business Name): JOEL STUART SHUSTER PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E LEHIGH AVE ROOM 325
PHILADELPHIA PA
19125-1000
US

IV. Provider business mailing address

2204 JAMAICA DR
WILMINGTON DE
19810-2828
US

V. Phone/Fax

Practice location:
  • Phone: 215-707-9718
  • Fax: 215-707-8326
Mailing address:
  • Phone: 215-707-4986
  • Fax: 215-707-8326

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP027347L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License NumberRP027347L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: