Active NPI
Joshua Borer, PHARMD
- Pharmacist
- Atlantic, IA
National Provider Identifier
1811489677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21536
- Practice address
- 1607 E 7TH St
Atlantic, IA 50022-1910 - Phone
- (712) 243-2110
- NPI assigned
- Jun 6, 2018
- Last updated
- Mar 6, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 12330 | NE | |
| Pharmacist | 183500000X | 21536 | IA | Primary |
Addresses
Primary practice location
1607 E 7TH St
Atlantic, IA 50022-1910
Mailing address
1607 E 7TH St
Atlantic, IA 50022-1910
Phone (712) 243-2110
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 |
|---|---|---|---|
| 21536 | IA | MD | Pharmacist |
| 12330 | NE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Estherville Pharmacy, L.L.C. | Current | Accepting new patients | |
| Estherville Pharmacy, L.L.C. | Current | Accepting new patients | |
| Rom Pharm, LLC | Current | Accepting new patients | |
| Rex Pharmacy Inc | Past | Accepting new patients |
Locations
1607 E 7th St
Atlantic, IA 50022
Phone (712) 243-2110
10043 Scott Cir
Ste 105
Omaha, NE 68122
Phone (402) 916-5888
Organizations & group practices 6
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.
-
dba Estherville Pharmacy (LTC)
- Long Term Care Pharmacy
- Estherville, IA
- NPI 1700412988
-
- Pharmacy
- Manning, IA
- NPI 1518052612
-
dba Estherville Pharmacy
- Community/Retail Pharmacy
- Estherville, IA
- NPI 1063562890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1811489677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1607 E 7TH ST",
"city": "ATLANTIC",
"state": "IA",
"postal_code": "500221910",
"telephone_number": "712-243-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1607 E 7TH ST",
"city": "ATLANTIC",
"state": "IA",
"postal_code": "500221910",
"telephone_number": "712-243-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORER",
"first_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-06",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "12330",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "21536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlantic, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.