Active NPI
Joshua Favre
- Pharmacist
- Biloxi, MS
National Provider Identifier
1053922138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-15006
- Practice address
- 2405 Pass Rd
Biloxi, MS 39531-2111 - Phone
- (228) 388-3458
- Fax
- (228) 388-4091
- NPI assigned
- Aug 12, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-15006 | MS | Primary |
Addresses
Primary practice location
2405 Pass Rd
Biloxi, MS 39531-2111
Mailing address
336 Springdale Cir
Diberville, MS 39540-3733
Phone (228) 209-4699
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | jbfavre | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-15006 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Biloxi, MS
- NPI 1669487823
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1053922138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 SPRINGDALE CIR",
"city": "DIBERVILLE",
"state": "MS",
"postal_code": "395403733",
"telephone_number": "228-209-4699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 PASS RD",
"city": "BILOXI",
"state": "MS",
"postal_code": "395312111",
"telephone_number": "228-388-3458",
"fax_number": "228-388-4091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAVRE",
"first_name": "JOSHUA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-12",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-15006",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "jbfavre",
"affiliation": "N",
"endpointDescription": "joshua favre",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2405 Pass Rd",
"city": "Biloxi",
"state": "MS",
"country_code": "US",
"postal_code": "395312111",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.