Connie Boyce
Individual provider Active NPI Pharmacist · Versailles, KY
NPI 1215259593 · NPPES record last updated Feb 27, 2010
Key facts
- NPI
- 1215259593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 009635 (KY)
- Practice address
- 501 Marsailles Dr
Versailles, KY 40383-1911 - Phone
- (859) 873-4617
- NPI assigned
- Feb 27, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009635 | KY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 009635 | KY | Yes |
Addresses
Primary practice location
501 Marsailles Dr
Versailles, KY 40383-1911
Mailing address
501 Marsailles Dr
Versailles, KY 40383-1911
Phone (859) 873-4617
Other providers in Versailles, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.