Healthcare Provider Details

I. General information

NPI: 1053527804
Provider Name (Legal Business Name): JOSEPH MARTIN HENSLEY PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 SHANNON DR
HURRICANE WV
25526-8824
US

IV. Provider business mailing address

68 SHANNON DR
HURRICANE WV
25526-8824
US

V. Phone/Fax

Practice location:
  • Phone: 304-610-7305
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number6970
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code1835G0303X
TaxonomyGeriatric Pharmacist
License Number6970
License Number StateWV
# 3
Primary TaxonomyY
Taxonomy Code1835N1003X
TaxonomyNutrition Support Pharmacist
License Number6970
License Number StateWV
# 4
Primary TaxonomyN
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number6970
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: