Joshua Border
Individual provider Active NPI Pharmacist · Mannington, WV
NPI 1407155757 · NPPES record last updated Mar 24, 2011
Key facts
- NPI
- 1407155757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP0006898 (WV)
- Practice address
- 109 E Main St
Mannington, WV 26582-1126 - Phone
- (304) 986-2280
- NPI assigned
- Mar 24, 2011
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP0006898 | WV | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0006898 | WV | Yes |
Addresses
Primary practice location
109 E Main St
Mannington, WV 26582-1126
Mailing address
109 E Main St
Mannington, WV 26582-1126
Other providers in Mannington, WV
- Baylee Bancroft
- Tammy Barker
- Reba Darlene Bell
- Alison Bienkoski
- Constance Boone
- Caleb Bridges
- Justin Cain
- Anthony Louis Camele
- Camele&Parker DDS, Inc.
- Derek Dwight Clark
All providers in Mannington, WV · Pharmacist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2011. 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.