Active NPI
Bradley A Boone, PHARM. D.
- Pharmacist
- Marion, KY
National Provider Identifier
1215072020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 013731
- Practice address
- 320 S Main St
Marion, KY 42064-1545 - Phone
- (270) 967-9007
- Fax
- (270) 967-9008
- NPI assigned
- Feb 20, 2007
- 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 | 013731 | KY | Primary |
Addresses
Primary practice location
320 S Main St
Marion, KY 42064-1545
Mailing address
320 S Main St
PO Box 437
Marion, KY 42064-0437
Phone (270) 967-9007
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013731 | KY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KB Pharmacy | Current | Accepting new patients |
Locations
320 S Main St
Marion, KY 42064
Phone (270) 967-9007
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Marion, KY
- NPI 1023398443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610236800000",
"number": "1215072020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 S MAIN ST",
"address_2": "PO BOX 437",
"city": "MARION",
"state": "KY",
"postal_code": "420640437",
"telephone_number": "270-967-9007",
"fax_number": "270-967-9008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 S MAIN ST",
"city": "MARION",
"state": "KY",
"postal_code": "420641545",
"telephone_number": "270-967-9007",
"fax_number": "270-967-9008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOONE",
"first_name": "BRADLEY",
"middle_name": "A",
"credential": "PHARM. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2021-01-10",
"certification_date": "2021-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "013731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marion, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.