1003364597 NPI number — DR. JOSEPH MICHAEL SENAY PHARM.D., R.PH

Table of content: DR. JOSEPH MICHAEL SENAY PHARM.D., R.PH (NPI 1003364597)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003364597 NPI number — DR. JOSEPH MICHAEL SENAY PHARM.D., R.PH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SENAY
Provider First Name:
JOSEPH
Provider Middle Name:
MICHAEL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHARM.D., R.PH
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003364597
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/14/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
521 ROBINBROOKE BLVD
Provider Second Line Business Mailing Address:
HARDIN MEMORIAL HEALTH CANCER CARE CENTER
Provider Business Mailing Address City Name:
ELIZABETHTOWN
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
42701-2143
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
270-706-1203
Provider Business Mailing Address Fax Number:
270-234-9176

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
521 ROBINBROOKE DR.
Provider Second Line Business Practice Location Address:
CANCER CARE CENTER OF HARDIN MEMORIAL HOSPITAL
Provider Business Practice Location Address City Name:
ELIZABETHTOWN
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-706-1203
Provider Business Practice Location Address Fax Number:
270-234-9176
Provider Enumeration Date:
09/14/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1835X0200X , with the licence number:  010005 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)