Shaun Adam Boone

Primary specialty

PharmacistTaxonomy code 183500000X

License

063143 Issued in NY

Practice address

1180 French Rd
Cheektowaga, NY 14227-3706

Phone

(716) 656-0173

Fax

(716) 656-0535

NPI assigned

Jan 12, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Cheektowaga, NY
  • NPI 1023310190
  NPD
• Walgreen Eastern Co Inc

  • Pharmacy
  • Lackawanna, NY
  • NPI 1851306930
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)
• Walgreen Eastern Co Inc

  • Pharmacy
  • Brookhaven, PA
  • NPI 1215942206
  NPD (past)

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1255849113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 ABBOTT RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142181910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 FRENCH RD",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142273706",
            "telephone_number": "716-656-0173",
            "fax_number": "716-656-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "SHAUN",
        "middle_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-12",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "063143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raylene Bolio, LPN
• Linda Susan Bonfanti
• Roberto N Bonilla
• Sarah A Bonk, LMSW
• Christine Anna Booker-Sommer
• Molly Lynn Bordonaro, MA, CCC/SLP
• Amy L Borynski, D.C.
• Cortney Bota
• Denise Dibernardo Bothwell, MS,RD,CDN
• Kostas N Botsoglou, M.D.

• Pharmacist in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.