Provider Demographics
NPI:1083588743
Name:FARIAS, JOSHUA XAVIER (PHARMD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:XAVIER
Last Name:FARIAS
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 1:18211 CAMINO DEL MAR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257-5004
Mailing Address - Country:US
Mailing Address - Phone:210-438-7635
Mailing Address - Fax:
Practice Address - Street 1:26482 US HIGHWAY 281 N
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-7215
Practice Address - Country:US
Practice Address - Phone:830-438-7866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-03
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76452183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist