Provider Demographics
NPI:1588013130
Name:BAROY, JUSTIN SEGUNDO (PHARMD)
Entity type:Individual
Prefix:
First Name:JUSTIN
Middle Name:SEGUNDO
Last Name:BAROY
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6882 FUJI ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92139-2013
Mailing Address - Country:US
Mailing Address - Phone:520-227-6695
Mailing Address - Fax:
Practice Address - Street 1:1100 N PRIEST DR
Practice Address - Street 2:UNIT 1051
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-1004
Practice Address - Country:US
Practice Address - Phone:619-956-6235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-05
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZS021418183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZVAD0000Medicare UPIN