Active NPI
Irina M Boguk, PHARMD, RPH
- Pharmacist
- Pawtucket, RI
National Provider Identifier
1124151634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 04458
- Practice address
- 727 East Ave
Pawtucket, RI 02860-6184 - Phone
- (401) 724-6800
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 04458 | RI | Primary |
| Pharmacist | 183500000X | 26340 | MA |
Addresses
Primary practice location
727 East Ave
Pawtucket, RI 02860-6184
Mailing address
17 Lori Dr
North Providence, RI 02911-1102
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
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04458 | RI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124151634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 LORI DR",
"city": "NORTH PROVIDENCE",
"state": "RI",
"postal_code": "029111102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 EAST AVE",
"city": "PAWTUCKET",
"state": "RI",
"postal_code": "028606184",
"telephone_number": "401-724-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGUK",
"first_name": "IRINA",
"middle_name": "M",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "04458",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "26340",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pawtucket, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.