Joel Boles

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS65953 Issued in FL

Practice address

852 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4723

Phone

(850) 932-0030

NPI assigned

Jul 27, 2023

Last updated

Jul 27, 2023By 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

State licenses

Practice roles

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.

• Publix Super Markets Inc

  dba Publix Pharmacy #2107

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)
• Publix Super Markets Inc

  dba Publix Pharmacy #1189

  • Community/Retail Pharmacy
  • Gulf Breeze, FL
  • NPI 1861663262
  NPD (past)

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1477234946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 PENSACOLA BEACH BLVD UNIT 801",
            "city": "PENSACOLA BEACH",
            "state": "FL",
            "postal_code": "325616814",
            "telephone_number": "850-529-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 GULF BREEZE PKWY",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614723",
            "telephone_number": "850-932-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLES",
        "first_name": "JOEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS65953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rusty Black
• Jennifer Lauren Blanks, MSN, APRN, FNP-BC
• John Travis Blaze, PH.D.
• Ginger Christina Bogan
• Douglas E Boler, M.D.
• Joseph Scott Booker, DMD
• I. Marie Booth, D.C.
• Genei S Bougher, ARNP
• Daniel J Bourassa, DC PHD
• Traci Bourgeois, M.D.

• Pharmacist in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.