Active NPI
Patrick L Boggs
- Pharmacist
- Plain Dealing, LA
National Provider Identifier
1376852145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11960
- Practice address
- 302 East Palmetto Street
Plain Dealing, LA 71064-0188 - Phone
- (318) 326-4229
- Fax
- (318) 326-5903
- NPI assigned
- Sep 28, 2010
- Last updated
- Sep 28, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11960 | LA | Primary |
Addresses
Primary practice location
302 East Palmetto Street
Plain Dealing, LA 71064-0188
Mailing address
PO Box 188
Plain Dealing, LA 71064
Phone (318) 326-4229
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11960 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelly Pharmacy Inc Kelly Pharmacy & Gifts | Current | Accepting new patients |
Locations
302 E Palmetto Ave
Plain Dealing, LA 71064
Phone (318) 326-4229
Organizations & group practices 1
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.
-
dba Kelly Pharmacy
- Community/Retail Pharmacy
- Plain Dealing, LA
- NPI 1760576011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285632000000",
"number": "1376852145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "PLAIN DEALING",
"state": "LA",
"postal_code": "71064",
"telephone_number": "318-326-4229",
"fax_number": "318-326-5903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 EAST PALMETTO STREET",
"city": "PLAIN DEALING",
"state": "LA",
"postal_code": "710640188",
"telephone_number": "318-326-4229",
"fax_number": "318-326-5903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGGS",
"first_name": "PATRICK",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-28",
"last_updated": "2010-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "11960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plain Dealing, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.