Provider Demographics
NPI:1194351486
Name:MEYER, JOANNE (PHARMD,MS)
Entity type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:
Last Name:MEYER
Suffix:
Gender:F
Credentials:PHARMD,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 FERRIS LN
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:10506-1715
Mailing Address - Country:US
Mailing Address - Phone:646-761-4871
Mailing Address - Fax:914-234-0263
Practice Address - Street 1:21 FERRIS LN
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NY
Practice Address - Zip Code:10506-1715
Practice Address - Country:US
Practice Address - Phone:646-761-4871
Practice Address - Fax:914-234-0263
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-18
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0321621835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist