NPIMap

Individual provider Active NPI

Mary Elizabeth Boevin, PHARM.D.

  • Pharmacist
  • North Syracuse, NY
National Provider Identifier
1225360340
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
050298 Issued in NY
Practice address
342 Northern Lights Dr
North Syracuse, NY 13212-4127
Phone
(315) 455-7925
Fax
(180) 036-5407
NPI assigned
Feb 1, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 050298 NY Primary

Addresses

Primary practice location

342 Northern Lights Dr
North Syracuse, NY 13212-4127

Mailing address

342 Northern Lights Dr
North Syracuse, NY 13212-4127
Phone (315) 455-7925

Other names 1

  • Mary Elizabeth Fleshman Former name

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

OrganizationSpecialtyStatusNew patients
Omnicare of New York, LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1225360340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 NORTHERN LIGHTS DR",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132124127",
            "telephone_number": "315-455-7925",
            "fax_number": "180-036-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 NORTHERN LIGHTS DR",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132124127",
            "telephone_number": "315-455-7925",
            "fax_number": "180-036-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEVIN",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "050298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "FLESHMAN",
            "middle_name": "ELIZABETH",
            "credential": "PHARM.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.