Individual provider Active NPI

Joshua M Hall, PHARM.D

  • Pharmacist
  • Cannon AFB, NM
National Provider Identifier
1588938534
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S019543 Issued in AZ
Practice address
27TH Medical Group
224 W D.L. Ingram Ave
Cannon AFB, NM 88103-5103
Phone
(575) 784-4028
Fax
(575) 784-7494
NPI assigned
Mar 7, 2012
Last updated
Feb 20, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S019543 AZ Primary

Addresses

Primary practice location

27TH Medical Group
224 W D.L. Ingram Ave
Cannon AFB, NM 88103-5103

Mailing address

27TH Medical Group/SGHC
224 W D.L. Ingram Ave
Cannon AFB, NM 88101-5103
Phone (575) 904-3917

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

LicenseStateTypeSpecialty
S019543AZMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1588938534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27TH MEDICAL GROUP/SGHC",
            "address_2": "224 W D.L. INGRAM AVE",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "881015103",
            "telephone_number": "575-904-3917",
            "fax_number": "575-784-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27TH MEDICAL GROUP",
            "address_2": "224 W D.L. INGRAM AVE",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "881035103",
            "telephone_number": "575-784-4028",
            "fax_number": "575-784-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JOSHUA",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-07",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S019543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cannon AFB, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.