Joshua James Desclos, PHARM D
Individual provider Active NPI Pharmacist · Plymouth, NH
NPI 1669994117 · NPPES record last updated Jul 15, 2017
Key facts
- NPI
- 1669994117
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 4201 (NH)
- Practice address
- 6 Main St
Plymouth, NH 03264-1440 - Phone
- (603) 536-4377
- NPI assigned
- Jul 15, 2017
- 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 |
|---|---|---|---|
| 4201 | NH | MD | Counseling Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4201 | NH | Yes |
Addresses
Primary practice location
6 Main St
Plymouth, NH 03264-1440
Mailing address
6 Main St
Plymouth, NH 03264-1440
Phone (603) 536-4377
Other providers in Plymouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2017. 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.