Provider Demographics
NPI:1619281839
Name:BALL, JOSEPH JAMES SR (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:JAMES
Last Name:BALL
Suffix:SR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 WESSEX HILLS DR
Mailing Address - Street 2:
Mailing Address - City:MOON TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-1021
Mailing Address - Country:US
Mailing Address - Phone:412-264-7372
Mailing Address - Fax:
Practice Address - Street 1:5990 UNIVERSITY BLVD
Practice Address - Street 2:SUITE 30
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108-4229
Practice Address - Country:US
Practice Address - Phone:412-262-2161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP031073L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARP031073LOtherPHARMACY LICRNSE