Organization Active NPI

Boyd Pharmacy LLC

  • Pharmacist
  • Charleston, SC
National Provider Identifier
1124341466
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10812 Issued in SC
Legal business name
BOYD PHARMACY LLC
Practice address
2000 Sam Rittenberg Blvd
Suite 116B
Charleston, SC 29407-4629
Phone
(843) 769-7633
Fax
(843) 769-7693
NPI assigned
Mar 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Authorized official

Name
David Grimm
Title
Ceo
Phone
(843) 769-7633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 10812 SC Primary

Addresses

Primary practice location

2000 Sam Rittenberg Blvd
Suite 116B
Charleston, SC 29407-4629

Mailing address

2000 Sam Rittenberg Blvd
Suite 116B
Charleston, SC 29407-4629
Phone (843) 769-7633

National Provider Directory

National Provider Directory

Locations

2000 Sam Rittenberg Blvd
Ste 116B
Charleston, SC 29407
Phone (843) 769-7633

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1124341466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SAM RITTENBERG BLVD",
            "address_2": "SUITE 116B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074629",
            "telephone_number": "843-769-7633",
            "fax_number": "843-769-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SAM RITTENBERG BLVD",
            "address_2": "SUITE 116B",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074629",
            "telephone_number": "843-769-7633",
            "fax_number": "843-769-7693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "GRIMM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-769-7633"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "10812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.