Joseph Roy Cardwell, PHARMD
Individual provider Active NPI Pharmacist · Vail, CO
NPI 1053962563 · NPPES record last updated Sep 25, 2019
Key facts
- NPI
- 1053962563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 17437 (CO)
- Practice address
- 181 W Meadow Dr
Vail, CO 81657-5242 - Phone
- (970) 471-4948
- NPI assigned
- Sep 25, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17437 | CO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17437 | CO | Yes |
Addresses
Primary practice location
181 W Meadow Dr
Vail, CO 81657-5242
Mailing address
181 W Meadow Dr
Vail, CO 81657-5242
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17437 | Other | CO | COLORADO LICENSE # |
Other providers in Vail, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.