Individual provider Active NPI

Jeff Boggan, R.PH

  • Pharmacist
  • Nashville, TN
National Provider Identifier
1346525698
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
C-8977 Issued in TN
Practice address
7601 Highway 70 S
Nashville, TN 37221-1853
Phone
(615) 646-5173
NPI assigned
Oct 19, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X C-8977 TN Primary

Addresses

Primary practice location

7601 Highway 70 S
Nashville, TN 37221-1853

Mailing address

3405 Old Anderson Rd Unit 130
Antioch, TN 37013-1026
Phone (615) 367-4034

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
C-8977TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1346525698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 OLD ANDERSON RD UNIT 130",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370131026",
            "telephone_number": "615-367-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 HIGHWAY 70 S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372211853",
            "telephone_number": "615-646-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGAN",
        "first_name": "JEFF",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "C-8977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.

Verify at the official NPI Registry.