Active NPI
Joshua Fillible, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Kotzebue, AK
National Provider Identifier
1134854680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RP452236
- Practice address
- 436 5TH Ave
Kotzebue, AK 99752-9975 - Phone
- (907) 442-7462
- NPI assigned
- Jul 19, 2022
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RP452236 | PA | Primary |
Addresses
Primary practice location
436 5TH Ave
Kotzebue, AK 99752-9975
Mailing address
PO Box 629
Kotzebue, AK 99752-0629
Phone (406) 241-5902
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP452236 | PA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1134854680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 629",
"city": "KOTZEBUE",
"state": "AK",
"postal_code": "997520629",
"telephone_number": "406-241-5902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "436 5TH AVE",
"city": "KOTZEBUE",
"state": "AK",
"postal_code": "997529975",
"telephone_number": "907-442-7462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILLIBLE",
"first_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-19",
"last_updated": "2022-07-19",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "PA",
"license": "RP452236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kotzebue, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.