Active NPI
Daniel Wesston Boatwright, PHARM.D.
- Critical Care Pharmacist
- McDonough, GA
National Provider Identifier
1043725369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Pharmacist
- License
- PS25697
- Practice address
- 1557 Aiken Chafin LN
McDonough, GA 30252-4002 - Phone
- (904) 891-3175
- NPI assigned
- Dec 8, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Pharmacist | 1835C0205X | PS25697 | FL | Primary |
Addresses
Primary practice location
1557 Aiken Chafin LN
McDonough, GA 30252-4002
Mailing address
1557 Aiken Chafin LN
McDonough, GA 30252-4002
Phone (904) 891-3175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS25697 | FL | MD | Critical Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1043725369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1557 AIKEN CHAFIN LN",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302524002",
"telephone_number": "904-891-3175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1557 AIKEN CHAFIN LN",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302524002",
"telephone_number": "904-891-3175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOATWRIGHT",
"first_name": "DANIEL",
"middle_name": "WESSTON",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-08",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "1835C0205X",
"taxonomy_group": "",
"desc": "Pharmacist, Critical Care",
"state": "FL",
"license": "PS25697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.