Active NPI
Howard Stephen Boone, R.PH.
- Pharmacist
- Summersville, WV
National Provider Identifier
1386722882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- WV0005817
- Practice address
- 1129 Broad St
Suite 100
Summersville, WV 26651-1843 - Phone
- (304) 872-9000
- Fax
- (304) 872-4419
- NPI assigned
- Nov 1, 2006
- 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 | WV0005817 | WV | Primary |
Addresses
Primary practice location
1129 Broad St
Suite 100
Summersville, WV 26651-1843
Mailing address
1129 Broad St
Suite 100
Summersville, WV 26651-1843
Phone (304) 872-9000
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
| License | State | Type | Specialty |
|---|---|---|---|
| WV0005817 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Lake Pharmacy Inc | Current | Accepting new patients | |
| Gauley River Pharmacy Inc | Current | Accepting new patients |
Locations
1129 Broad St
Ste 100
Summersville, WV 26651
Phone (304) 872-9000
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Craigsville, WV
- NPI 1144466723
-
- Community/Retail Pharmacy
- Summersville, WV
- NPI 1336228006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386722882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1129 BROAD ST",
"address_2": "SUITE 100",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266511843",
"telephone_number": "304-872-9000",
"fax_number": "304-872-4419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1129 BROAD ST",
"address_2": "SUITE 100",
"city": "SUMMERSVILLE",
"state": "WV",
"postal_code": "266511843",
"telephone_number": "304-872-9000",
"fax_number": "304-872-4419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOONE",
"first_name": "HOWARD",
"middle_name": "STEPHEN",
"name_prefix": "Mr.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "WV0005817",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summersville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.