Laurie Ann Bohler, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

180106834480059 Issued in FL

Practice address

2104 Massey Ave
Branch Medical Clinic Nas Mayport
Jacksonville, FL 32224

Phone

(904) 270-4205

Fax

(904) 270-4454

NPI assigned

Mar 17, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1003057324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 OTTERWOOD CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322253900",
            "telephone_number": "904-220-0459",
            "fax_number": "904-220-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 MASSEY AVE",
            "address_2": "BRANCH MEDICAL CLINIC NAS MAYPORT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32224",
            "telephone_number": "904-270-4205",
            "fax_number": "904-270-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHLER",
        "first_name": "LAURIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "FL",
            "license": "180106834480059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikhail Bogomaz, PSY.D.
• Margaret Bogosian
• Cynthia L Bohannon, DC
• Tracy Aidan Bohannon, M.E.D
• Yulianna Bohdanets
• Elird Bojaxhi, MD
• Lizza Marie Bojito-Marrero, MD
• Candice Bolan, MD
• Peter J Bolan, MD
• Annemarie Jin Boland, DO

• Pharmacy Technician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pharmacy Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.