MEDICARE: JOAD INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	21928	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1487654869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOAD INC

Provider Business Mailing Address
First Line	:	3118 BISSONNET ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-4021
Country	:	US
Telephone Number	:	713-664-3426
Fax Number	:	713-664-2342

Provider Business Practice Location Address
First Line	:	3118 BISSONNET ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-4021
Country	:	US
Telephone Number	:	713-664-3426
Fax Number	:	713-664-2342

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. STEVEN KING
Credential	:	RPH
Telephone Number	:	713-664-3426

Provider Enumeration Date	:	07/27/2005
Last Update Date	:	08/22/2020

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Directions to “JOAD INC ” Practice Location

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