Susan Carol Boyd

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

199410 Issued in TX

Practice address

1308 E Old Chico Rd
Decatur, TX 76234-3405

Phone

(940) 208-1638

NPI assigned

May 19, 2021

Last updated

May 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Solaris Pharmacy Inc

  dba Solaris Pharmacy

  • Long Term Care Pharmacy
  • Bridgeport, TX
  • NPI 1093108805
  NPD (past)

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1124692546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 E OLD CHICO RD",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343405",
            "telephone_number": "940-208-1638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 E OLD CHICO RD",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343405",
            "telephone_number": "940-208-1638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "SUSAN",
        "middle_name": "CAROL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "199410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Black
• Bond Family Eye Care P.a.
• Lindsay Bond, O.D.
• Michael L Bond, OD
• Anne Bonham
• Cameron Boyers, MSN, APRN, FNP-C
• Traci Lynn Brannon, PHARM D
• Brett Ray Braziel, PT, MPT
• Katherine Elizabeth Brown, FNP
• Jim Bui, ATC, LAT

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Decatur, TX
• Providers in Decatur, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.