NPIMap

Organization Active NPI

Randy B Boland

Doing business as Boland Pharmacy

  • Community/Retail Pharmacy
  • Bowman, SC
National Provider Identifier
1063581304
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
2899 Issued in SC
Legal business name
RANDY B BOLAND
Doing business as
Boland Pharmacy
Practice address
7107 Charlston Hwy
Bowman, SC 29018-0398
Phone
(803) 829-2547
Fax
(803) 829-2548
NPI assigned
Nov 8, 2006
Last updated
Mar 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Authorized official

Name
Carolyn Boland, RPHNPI 1699856088
Title
RPH
Phone
(803) 829-2547

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 2899 SC Primary

Addresses

Primary practice location

7107 Charlston Hwy
Bowman, SC 29018-0398

Mailing address

PO Box 398
Bowman, SC 29018-0398
Phone (803) 829-2547

Other identifiers 2

IdentifierTypeStateIssuer
2090144OtherPK
728997MedicaidSC

Other names 1

  • BOLAND PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Boland Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1063581304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 398",
            "city": "BOWMAN",
            "state": "SC",
            "postal_code": "290180398",
            "telephone_number": "803-829-2547",
            "fax_number": "803-829-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7107 CHARLSTON HWY",
            "city": "BOWMAN",
            "state": "SC",
            "postal_code": "290180398",
            "telephone_number": "803-829-2547",
            "fax_number": "803-829-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY B BOLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "BOLAND",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "803-829-2547",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "2899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2090144",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "728997",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOLAND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bowman, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.