Michael Menchaca Boone, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

42506 Issued in TX

Practice address

451 FM 548
Forney, TX 75126-6288

Phone

(972) 552-1633

NPI assigned

Jun 14, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Forney, TX
  • NPI 1427240746
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1104556943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 DUNLAND DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933315",
            "telephone_number": "469-496-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 FM 548",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751266288",
            "telephone_number": "972-552-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "MICHAEL",
        "middle_name": "MENCHACA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "42506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecily Ann Blume, DPT
• Jennifer Lee Boatright, LPC
• Katherine Bonifaz
• Shelby Booker
• Hannah M Boone, DC
• Jeremy Richard Bortle
• Felix Ojo Bosede
• Nicholas Roger Bosse, D.C.
• Micah Bowman-Spears, BCBA, LBA
• Annaelise Bowman

• Pharmacist in Forney, TX
• Providers in Forney, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.