Jimmy Mack Boatright, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

016433 Issued in GA

Practice address

1600 Perry Lane Rd
Brunswick, GA 31525-9739

Phone

(912) 264-2561

NPI assigned

Apr 23, 2012

Last updated

Apr 24, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1417215856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PERRY LANE RD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315259739",
            "telephone_number": "912-264-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PERRY LANE RD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315259739",
            "telephone_number": "912-264-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATRIGHT",
        "first_name": "JIMMY",
        "middle_name": "MACK",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "016433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rostron Blankinship, CRNA
• Mary Blenkinsop, CCC-SLP
• Ashley Blizzard, RN
• Blossom & Bloom ABA
• John Blumer, M.D.
• Tracie Bock, RD, LD
• David Thomas Boczar, D.C.
• Jennifer Leever Boczar, D.C.
• Brett A Bodamer, D.P.M.
• Marshall Boden

• Pharmacist in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.