Active NPI
Floyd Randal Boyer, BSPH
- Community/Retail Pharmacy
- Anthon, IA
National Provider Identifier
1306592159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 16128
- Practice address
- 120 E Main
Anthon, IA 51004-0279 - Phone
- (712) 373-5256
- Fax
- (712) 373-5716
- NPI assigned
- Mar 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 16128 | IA | Primary |
Addresses
Primary practice location
120 E Main
Anthon, IA 51004-0279
Mailing address
PO Box 279
120 E Main St
Anthon, IA 51004-0279
Phone (712) 373-5256
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0082008 | Medicaid | IA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16128 | IA | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mills Pharmacy PC | Community/Retail Pharmacy | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646092800000",
"number": "1306592159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 279",
"address_2": "120 E MAIN ST",
"city": "ANTHON",
"state": "IA",
"postal_code": "510040279",
"telephone_number": "712-373-5256",
"fax_number": "712-373-5716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E MAIN",
"city": "ANTHON",
"state": "IA",
"postal_code": "510040279",
"telephone_number": "712-373-5256",
"fax_number": "712-373-5716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYER",
"first_name": "FLOYD",
"middle_name": "RANDAL",
"name_prefix": "Mr.",
"credential": "BSPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-01",
"last_updated": "2022-03-01",
"certification_date": "2022-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "IA",
"license": "16128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0082008",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anthon, IA
- Anthon Community Ambulance Service Incorporated (Anthon Rescue Squad)
- Anthon Oto Community School District
- Dennis Oral Edwards, DC
- Iowa Physicians Clinic Medical Foundation (Unitypoint Clinic Family Medicine - Anthon)
- Maple Valley - Anthon Oto
- Maple Valley - Anthon Oto CSD
- Mercy Medical Services (Anthon Mercy Medical Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.