Active NPI
Justin L Herbert, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Chinle, AZ
National Provider Identifier
1972890747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 21898
- Practice address
- U.S. 191 & Hospital Drive
Chinle, AZ 86503 - Phone
- (928) 674-7001
- NPI assigned
- Jun 30, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | |||
| Pharmacist | 183500000X | 21898 | NC | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 21898 | NC | Primary |
Addresses
Primary practice location
U.S. 191 & Hospital Drive
Chinle, AZ 86503
Mailing address
6822 Charette CT Ste 1
Charlotte, NC 28215-9424
Phone (980) 254-1231
Other practice location 1
6822 Charette Ct Ste 101
Charlotte, NC 28215-9424
Phone (980) 254-1231
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 |
|---|---|---|---|
| 21898 | NC | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jem Assets, LLC Dba Pharmacist Care | Current | Accepting new patients | |
| Hometown Discount Pharmacy of Greenville, Inc. | Past | Accepting new patients | |
| Hometown Discount Pharmacy of Greenville, Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Health Service Clinic/Center
- Charlotte, NC
- NPI 1114696218
-
- Community/Retail Pharmacy
- Greenville, NC
- NPI 1942632369
-
- Community/Retail Pharmacy
- Greenville, NC
- NPI 1942394358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1972890747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6822 CHARETTE CT STE 1",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282159424",
"telephone_number": "980-254-1231",
"fax_number": "704-519-2776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "U.S. 191 & HOSPITAL DRIVE",
"city": "CHINLE",
"state": "AZ",
"postal_code": "86503",
"telephone_number": "928-674-7001"
}
],
"practiceLocations": [
{
"address_1": "6822 Charette Ct Ste 101",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282159424",
"country_code": "US",
"telephone_number": "980-254-1231",
"fax_number": "704-519-2776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERBERT",
"first_name": "JUSTIN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-30",
"last_updated": "2021-10-13",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "21898",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NC",
"license": "21898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chinle, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.