Charles Bruce Boggs II, PHARM.D.

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

10521 Issued in KY

Practice address

1841 N 25TH St
Middlesboro, KY 40965-1853

Phone

(606) 248-9330

Fax

(606) 248-9337

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Bowynn Inc

  • Community/Retail Pharmacy
  • Whitley City, KY
  • NPI 1598067274
  NPD
• KV Medical LLC.

  • Community/Retail Pharmacy
  • Newport, TN
  • NPI 1073086807
  NPD
• KV Medical LLC.

  • Long Term Care Pharmacy
  • Newport, TN
  • NPI 1144927385
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346353828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 N 25TH ST",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651853",
            "telephone_number": "606-248-9330",
            "fax_number": "606-248-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 N 25TH ST",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651853",
            "telephone_number": "606-248-9330",
            "fax_number": "606-248-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGS",
        "first_name": "CHARLES",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "KY",
            "license": "10521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY LISCENSE #",
            "identifier": "10521",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James S Bazzi, MD
• Beacon of Light Family Chiropractic, PLLC
• Bell Emergency Group, LLC
• Blue Mountain Medical Clinic, PLLC
• Bluegrass Adult Care, LLC
• Alyssa Boldin, NP
• Holly Renee Booth, O.D.
• Joseph McKinley Boster, D.M.D.
• Bowkirk Medical
• Taylor Bowling, OT

• Pharmacotherapy Pharmacist in Middlesboro, KY
• Providers in Middlesboro, KY by specialty
• Pharmacotherapy Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.