Randy Scott Boggs

Primary specialty

PharmacistTaxonomy code 183500000X

License

22100 Issued in TN

Practice address

718 Winfield Dunn Pkwy
Sevierville, TN 37876-5511

Phone

(865) 453-4175

NPI assigned

Nov 18, 2020

Last updated

Nov 18, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tennessee CVS Pharmacy LLC

  dba CVS Pharmacy #06361

  • Pharmacy
  • Sevierville, TN
  • NPI 1326141037
  NPD (past)

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1356944649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 WINFIELD DUNN PKWY",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378765511",
            "telephone_number": "865-453-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 WINFIELD DUNN PKWY",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378765511",
            "telephone_number": "865-453-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGGS",
        "first_name": "RANDY",
        "middle_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "22100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Blankenship
• Roberta F Blasenak, RN, CPNP
• BLC Wellington - Sevierville, LLC (Brookdale Sevierville)
• Mackenzie Elizabeth Bleazard
• Dana Nicole Bobeck, PHARM.D
• Luke Bolin
• Emily Boling, COTA/L
• Requitta H Bone
• Katherine Elaine Booker, RN BSN
• Marti Boots

• Pharmacist in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.