Active NPI
Joshua Staples, PHARMD
- Pharmacist
- Owensboro, KY
National Provider Identifier
1750987814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 020920
- Practice address
- 3311 Highway 54
Owensboro, KY 42303-2120 - Phone
- (270) 926-0476
- NPI assigned
- Dec 4, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 183500000X | 020920 | KY | Primary |
Addresses
Primary practice location
3311 Highway 54
Owensboro, KY 42303-2120
Mailing address
3750 Ralph Ave Apt 1226
Owensboro, KY 42303-2483
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 |
|---|---|---|---|
| 020920 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentucky CVS Pharmacy, L.L.C. | Current | Accepting new patients |
Locations
3311 Highway 54
Owensboro, KY 42303
Phone (270) 684-3439
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607040000000",
"number": "1750987814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 RALPH AVE APT 1226",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423032483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3311 HIGHWAY 54",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423032120",
"telephone_number": "270-926-0476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAPLES",
"first_name": "JOSHUA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-04",
"last_updated": "2020-12-04",
"certification_date": "2020-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "020920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.