Provider Demographics
NPI:1427280858
Name:BARNES, JOEL R (RPH)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:R
Last Name:BARNES
Suffix:
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 1:13750 DEACONS WAY
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-5883
Mailing Address - Country:US
Mailing Address - Phone:808-265-9856
Mailing Address - Fax:
Practice Address - Street 1:8697 SUDLEY RD
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4588
Practice Address - Country:US
Practice Address - Phone:703-331-3716
Practice Address - Fax:703-361-2370
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH 2610183500000X
VA0202209991183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist