Thomas Anthony Bohan

Primary specialty

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

License

PS29412 Issued in FL

Practice address

7701 Nova Dr
Davie, FL 33324-5833

Phone

(954) 475-7455

NPI assigned

Apr 17, 2020

Last updated

Apr 17, 2020By the provider in NPPES

Sex

Male

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.

• Davie Pill Box LLC

  dba Pill Box Pharmacy Davie

  • Community/Retail Pharmacy
  • Davie, FL
  • NPI 1386186443
  NPD (past) Authorized official

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1174143358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9761 RIDGE WALK CT",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333287140",
            "telephone_number": "954-650-4424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 NOVA DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333245833",
            "telephone_number": "954-475-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHAN",
        "first_name": "THOMAS",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "FL",
            "license": "PS29412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Bock, APRN
• Amanda Rae Bock, ATC
• Suanne Boehm, PHARMD
• David Robert Boesler, D.O.
• Annette D. Bogle
• Christopher Boldrin, PTA, CSCS
• Tayonna Danae Boley
• Briana Clamanchie Bolivar
• Jessie Bollback, ATC, LAT
• Nailyn Bonachea

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Davie, FL
• Providers in Davie, FL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.