Active NPI
Ferryl Boyance McClain, R.PH D.PH
- Pharmacist
- Tucson, AZ
National Provider Identifier
1053928192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S027234
- Practice address
- 1940 E Broadway Blvd
Tucson, AZ 85719-5934 - Phone
- (520) 206-9052
- NPI assigned
- Sep 23, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | S027234 | AZ | Primary |
Addresses
Primary practice location
1940 E Broadway Blvd
Tucson, AZ 85719-5934
Mailing address
1659 E Deer Hollow Loop
Tucson, AZ 85737-9187
Phone (346) 476-2683
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S027234 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haeckerville Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Houston, TX
- NPI 1215476395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1053928192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1659 E DEER HOLLOW LOOP",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857379187",
"telephone_number": "346-476-2683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 E BROADWAY BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857195934",
"telephone_number": "520-206-9052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAIN",
"first_name": "FERRYL",
"middle_name": "BOYANCE",
"credential": "R.PH D.PH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-23",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S027234",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.