Active NPI
Chanteal Laquita Boyd
- Pharmacist
- Memphis, TN
National Provider Identifier
1316725179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 47525
- Practice address
- 4015 Austin Peay Hwy
Memphis, TN 38128-2503 - Phone
- (901) 373-4575
- NPI assigned
- Sep 21, 2023
- Last updated
- Sep 21, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 47525 | TN | Primary |
Addresses
Primary practice location
4015 Austin Peay Hwy
Memphis, TN 38128-2503
Mailing address
6333 Raible Dr
Millington, TN 38053-3672
Phone (901) 581-9321
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 |
|---|---|---|---|
| 47525 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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": "1695254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695254400000",
"number": "1316725179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6333 RAIBLE DR",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "380533672",
"telephone_number": "901-581-9321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 AUSTIN PEAY HWY",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381282503",
"telephone_number": "901-373-4575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "CHANTEAL",
"middle_name": "LAQUITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-21",
"last_updated": "2023-09-21",
"certification_date": "2023-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "47525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.