Destiny Boutain, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

66810 Issued in TX

Practice address

3405 Knight LN
Baytown, TX 77521-2824

Phone

(985) 247-5959

NPI assigned

Mar 7, 2022

Sex

Female

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1366199630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 KNIGHT LN",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 KNIGHT LN",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212824",
            "telephone_number": "985-247-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUTAIN",
        "first_name": "DESTINY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "TX",
            "license": "66810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice L Borah-Railsback
• Lorenzo Bortolotti, MD
• Borusan Pipe U.S. Inc.
• Laura Boston, PHARM. D.
• George Bouchebl
• Boutros P. Kahla, M.D., P.a.
• Elizabeth Bowden, LPC-A
• Chara Bowie, LPC
• Gina Bracco, PT
• Amy E Braun, PHARM.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Baytown, TX
• Providers in Baytown, TX by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.