Provider Demographics
NPI:1841508777
Name:JONES, JOY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOY
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 E 13TH ST
Mailing Address - Street 2:#707
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605-2655
Mailing Address - Country:US
Mailing Address - Phone:312-291-0313
Mailing Address - Fax:312-291-0313
Practice Address - Street 1:1959 E 71ST ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60649-2005
Practice Address - Country:US
Practice Address - Phone:773-643-4200
Practice Address - Fax:773-643-9432
Is Sole Proprietor?:No
Enumeration Date:2010-09-14
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051288500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist