Provider Demographics
NPI:1548850530
Name:FARMER, JOSEPH ADAM (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ADAM
Last Name:FARMER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1324 COUNCIL MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:ROWE
Mailing Address - State:VA
Mailing Address - Zip Code:24646-9266
Mailing Address - Country:US
Mailing Address - Phone:276-202-0744
Mailing Address - Fax:
Practice Address - Street 1:116 FLANAGAN AVE
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:VA
Practice Address - Zip Code:24266-4514
Practice Address - Country:US
Practice Address - Phone:276-889-5721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202208418183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0202208418OtherVIRGINIA BOARD OF PHARMACY NUMBER