Active NPI
Boone Navath Bou, PHARM.D
- Pharmacist
- South Gate, CA
National Provider Identifier
1205389152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 73342
- Practice address
- 4621 Firestone Blvd
South Gate, CA 90280-3401 - Phone
- (323) 569-1932
- Fax
- (323) 569-1972
- NPI assigned
- Jul 27, 2016
- Last updated
- Jul 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 73342 | CA | Primary |
Addresses
Primary practice location
4621 Firestone Blvd
South Gate, CA 90280-3401
Mailing address
4621 Firestone Blvd
South Gate, CA 90280-3401
Phone (323) 569-1932
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469577600000",
"number": "1205389152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4621 FIRESTONE BLVD",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902803401",
"telephone_number": "323-569-1932",
"fax_number": "323-569-1972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4621 FIRESTONE BLVD",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902803401",
"telephone_number": "323-569-1932",
"fax_number": "323-569-1972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOU",
"first_name": "BOONE",
"middle_name": "NAVATH",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-27",
"last_updated": "2016-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "73342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.