Individual provider Active NPI

Joseph William Chamberlain, PHARM.D.

  • Pharmacist
  • Live Oak, FL
National Provider Identifier
1801133665
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS43591 Issued in FL
Practice address
1520 Ohio Ave S
Live Oak, FL 32064-3396
Phone
(386) 362-2591
Fax
(386) 208-1588
NPI assigned
Jan 12, 2013
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS43591 FL Primary

Addresses

Primary practice location

1520 Ohio Ave S
Live Oak, FL 32064-3396

Mailing address

1520 Ohio Ave S
Live Oak, FL 32064-4514
Phone (386) 362-2591

Other practice location 1

161 SW Stonegate Ter
Lake City, FL 32024-3452
Phone (386) 754-5377

Other practice location 2

1150 US Highway 41 NW Ste 13
Jasper, FL 32052-5889
Phone (386) 638-0101

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
PS43591FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Care Clinic LLC Current Accepting new patients

Locations

1520 Ohio Ave S
Live Oak, FL 32064
Phone (386) 362-2591

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1357948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1801133665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 OHIO AVE S",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320644514",
            "telephone_number": "386-362-2591",
            "fax_number": "386-208-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 OHIO AVE S",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320643396",
            "telephone_number": "386-362-2591",
            "fax_number": "386-208-1588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 SW Stonegate Ter",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320243452",
            "country_code": "US",
            "telephone_number": "386-754-5377",
            "fax_number": "386-487-0309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1150 US Highway 41 NW Ste 13",
            "address_purpose": "LOCATION",
            "city": "Jasper",
            "state": "FL",
            "postal_code": "320525889",
            "country_code": "US",
            "telephone_number": "386-638-0101",
            "fax_number": "386-638-0102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "JOSEPH",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-12",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS43591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.