Provider Demographics
NPI:1326519273
Name:XAVIER, JOSEPH NAZARETH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:NAZARETH
Last Name:XAVIER
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 1:1250A N HIGHWAY 25
Mailing Address - Street 2:
Mailing Address - City:TRAVELERS REST
Mailing Address - State:SC
Mailing Address - Zip Code:29690-8005
Mailing Address - Country:US
Mailing Address - Phone:864-616-3495
Mailing Address - Fax:
Practice Address - Street 1:3050 WHITE HORSE RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29611-7700
Practice Address - Country:US
Practice Address - Phone:864-605-1849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC37978183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist