Active NPI
Marvin D Bouchon, RPH
- Pharmacist
- Sarasota, FL
National Provider Identifier
1073814224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP027973L
- Practice address
- 4513 Tuscana Dr
Sarasota, FL 34241-4202 - Phone
- (412) 266-5859
- NPI assigned
- Nov 4, 2010
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP027973L | PA | Primary |
Addresses
Primary practice location
4513 Tuscana Dr
Sarasota, FL 34241-4202
Mailing address
4513 Tuscana Dr
Sarasota, FL 34241-4202
Phone (412) 266-5859
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP027973L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363305600000",
"number": "1073814224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4513 TUSCANA DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342414202",
"telephone_number": "412-266-5859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4513 TUSCANA DR",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342414202",
"telephone_number": "412-266-5859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUCHON",
"first_name": "MARVIN",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-04",
"last_updated": "2013-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP027973L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.