Active NPI
Charles Edwin Boyd Jr.
- Pharmacist
- Hartsville, SC
National Provider Identifier
1336448166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6336
- Practice address
- 901 S 5TH St
Hartsville, SC 29550-5739 - Phone
- (843) 332-4523
- Fax
- (843) 332-6701
- NPI assigned
- Mar 18, 2011
- Sex
- Male
- 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 | 6336 | SC | Primary |
Addresses
Primary practice location
901 S 5TH St
Hartsville, SC 29550-5739
Mailing address
901 S 5TH St
Hartsville, SC 29550-5739
Phone (843) 332-4523
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 |
|---|---|---|---|
| 6336 | SC | MD | Obstetrics & Gynecology Physician |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300406400000",
"number": "1336448166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 S 5TH ST",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295505739",
"telephone_number": "843-332-4523",
"fax_number": "843-332-6701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S 5TH ST",
"city": "HARTSVILLE",
"state": "SC",
"postal_code": "295505739",
"telephone_number": "843-332-4523",
"fax_number": "843-332-6701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "CHARLES",
"middle_name": "EDWIN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-18",
"last_updated": "2011-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "6336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartsville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.