Individual provider Active NPI

Catherine Boalch, RPH, PHARM.D.

  • Pharmacist
  • Atlanta, GA
National Provider Identifier
1356996656
Registry record updated Aug 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH031573 Issued in GA
Practice address
3695 Cascade Rd SW
Atlanta, GA 30331-2173
Phone
(404) 505-8620
NPI assigned
Aug 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH031573 GA Primary

Addresses

Primary practice location

3695 Cascade Rd SW
Atlanta, GA 30331-2173

Mailing address

240 E Belle Isle Rd Apt 621
Sandy Springs, GA 30342-2397
Phone (318) 312-0553

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
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RPH031573GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1356996656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E BELLE ISLE RD APT 621",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303422397",
            "telephone_number": "318-312-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 CASCADE RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312173",
            "telephone_number": "404-505-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOALCH",
        "first_name": "CATHERINE",
        "credential": "RPH, PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH031573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.