Cynthia Kay Boyd, RPH, PHARMD
Individual provider Active NPI Pharmacist · Kennett, MO
NPI 1255972758 · NPPES record last updated Oct 5, 2019
Key facts
- NPI
- 1255972758
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 2005040943 (MO)
- Practice address
- 1500 1St St
Kennett, MO 63857-2522 - Phone
- (573) 888-4543
- NPI assigned
- Oct 5, 2019
- 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
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD14780 | AR | MD | Pharmacist |
| 2005040943 | MO | MD | Pharmacist |
| 42628 | TN | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 42628 | TN | |
| Pharmacist | 183500000X | PD14780 | AR | |
| Pharmacist | 183500000X | 2005040943 | MO | Yes |
Addresses
Primary practice location
1500 1St St
Kennett, MO 63857-2522
Mailing address
6135 Boskey Dr
Millington, TN 38053-6901
Phone (573) 268-1152
Other providers in Kennett, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2019. 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.