Active NPI
Cynthia Kay Boyd, RPH, PHARMD
- Pharmacist
- Kennett, MO
National Provider Identifier
1255972758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2005040943
- Practice address
- 1500 1St St
Kennett, MO 63857-2522 - Phone
- (573) 888-4543
- NPI assigned
- Oct 5, 2019
- Last updated
- Oct 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42628 | TN | |
| Pharmacist | 183500000X | PD14780 | AR | |
| Pharmacist | 183500000X | 2005040943 | MO | Primary |
Addresses
Primary practice location
1500 1St St
Kennett, MO 63857-2522
Mailing address
6135 Boskey Dr
Millington, TN 38053-6901
Phone (573) 268-1152
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD14780 | AR | MD | Pharmacist |
| 2005040943 | MO | MD | Pharmacist |
| 42628 | TN | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570233600000",
"number": "1255972758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6135 BOSKEY DR",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "380536901",
"telephone_number": "573-268-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 1ST ST",
"city": "KENNETT",
"state": "MO",
"postal_code": "638572522",
"telephone_number": "573-888-4543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "CYNTHIA",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "RPH, PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-05",
"last_updated": "2019-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "42628",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD14780",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2005040943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.