Barbara Ann Boston, PHARMD
Individual provider Active NPI Pharmacist · Shenandoah, IA
NPI 1104453984 · NPPES record last updated Mar 24, 2020
Key facts
- NPI
- 1104453984
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 19888 (IA)
- Practice address
- 705 S Fremont St
Shenandoah, IA 51601-1570 - Phone
- (712) 246-4033
- Fax
- (712) 246-1101
- NPI assigned
- Mar 24, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19888 | IA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past |
Accepting new patients | |
| Walmart Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19888 | IA | Yes |
Addresses
Primary practice location
705 S Fremont St
Shenandoah, IA 51601-1570
Mailing address
705 S Fremont St
Shenandoah, IA 51601-1570
Phone (712) 246-4033
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19888 | Other | IA | INDIVIDUAL PHARMACIST LICENSE |
Other providers in Shenandoah, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.