Provider Demographics
NPI:1497262505
Name:NEFF, JOSHUA RAY (PHARMD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:RAY
Last Name:NEFF
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 1:924 N PIN OAK RD
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:KS
Mailing Address - Zip Code:67037-3548
Mailing Address - Country:US
Mailing Address - Phone:316-619-4100
Mailing Address - Fax:
Practice Address - Street 1:1101 N ROCK RD
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:KS
Practice Address - Zip Code:67037-3705
Practice Address - Country:US
Practice Address - Phone:316-788-6669
Practice Address - Fax:316-788-3570
Is Sole Proprietor?:No
Enumeration Date:2018-01-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-100424183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist