Boatnerwerks

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

19933 Issued in AL

Legal business name

BOATNERWERKS

Doing business as

Medicine Shoppe

Practice address

1751 Upper Wetumpka Road
Montgomery, AL 36107

Phone

(334) 264-1110

Fax

(334) 264-1062

NPI assigned

Aug 31, 2006

Last updated

Jul 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Lewis Boatner

Title

Owner

Phone

(334) 264-1110

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Medicine Shoppe Doing business as

Tax ID family

Boatnerwerks2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shorter Drugs, Boatnerwerks, Inc Dba

  • Community/Retail Pharmacy
  • Shorter, AL
  • NPI 1043328537
  NPD tax ID

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1184736134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70369",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361070369",
            "telephone_number": "334-264-1110",
            "fax_number": "334-264-1062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 UPPER WETUMPKA ROAD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36107",
            "telephone_number": "334-264-1110",
            "fax_number": "334-264-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOATNERWERKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "BOATNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEWIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-264-1110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "19933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP / NCPDP",
            "identifier": "0126056",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002719",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blue Ridge Healthcare Camellia LLC
• Blue Ridge Healthcare Montgomery LLC
• Blue Ridge Healthcare Windwood LLC
• BML Transportation Services LLC
• BNZ Healthcare and Traing Center LLC
• Katherine Jane Bodiford, M.D.
• Kent Delos Bodily, PH.D., BCBA
• Body Logic Physical Therapy LLC
• William Scot Boehm, CRNA
• De'Asha M Boggan

• Community/Retail Pharmacy in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.