Joseph Leo Cross III, PHARM.D
Individual provider Active NPI Pharmacist · Oberlin, OH
NPI 1396010708 · NPPES record last updated Dec 20, 2020
Key facts
- NPI
- 1396010708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 056293 (NY)
- Practice address
- 297 S Main St
Oberlin, OH 44074-1772 - Phone
- (440) 774-3531
- NPI assigned
- Mar 19, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 056293 | NY | MD | Pharmacist |
| 03335263 | OH | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03335263 | OH | |
| Pharmacist | 183500000X | 056293 | NY | Yes |
Addresses
Primary practice location
297 S Main St
Oberlin, OH 44074-1772
Mailing address
13807 Hale Rd
Oberlin, OH 44074-9784
Phone (518) 495-8173
Other providers in Oberlin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2020. 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.