Jeanine Boain

Primary specialty

PharmacistTaxonomy code 183500000X

License

2018037604 Issued in MO

Practice address

15425 Manchester Rd
Ballwin, MO 63011-3077

Phone

(636) 256-7922

NPI assigned

Jan 2, 2020

Last updated

Jan 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1447899836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13023 RAY TROG CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631461802",
            "telephone_number": "314-808-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15425 MANCHESTER RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113077",
            "telephone_number": "636-256-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAIN",
        "first_name": "JEANINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2018037604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://nourish.schnucks.com/",
            "affiliation": "N",
            "endpointDescription": "Schnucks homepage",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Schnucks homepage",
            "address_1": "15425 Manchester Rd",
            "city": "Ballwin",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630113077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christina Michelle Blaesing, MSN, APRN, FNP-C
• Rebecca Blake, DC
• Emma Blankenship, ATC
• Shelby Blecha, BCBA
• Margaret Bleyer
• Nicholas Michael Bohler
• Adam Robert Bohn, PHARM.D.
• James S. Bonner, M.D.
• Marie A Bosch, MD
• Amelia Helen Bottcher

• Pharmacist in Ballwin, MO
• Providers in Ballwin, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; 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.