Lisa M Boesch, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

R1549 Issued in NH

Practice address

1250 E Magnolia St
Fort Collins, CO 80524-2702

Phone

(970) 493-3934

Fax

(970) 493-7977

NPI assigned

Apr 17, 2008

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

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": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1477727642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E MAGNOLIA ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242702",
            "telephone_number": "970-493-3934",
            "fax_number": "970-493-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E MAGNOLIA ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242702",
            "telephone_number": "970-493-3934",
            "fax_number": "970-493-7977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "NH",
            "postal_code": "038016825",
            "country_code": "US",
            "telephone_number": "603-436-0562",
            "fax_number": "603-427-6155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOESCH",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "R1549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Bockelmann
• Hannah Bockholt, RBT
• John Richardson Bodenhamer, MD
• Body & Sole, LLC.
• Coreen Boeding Hockenberry Boeding, PH.D.
• Sarah Frances Boffa, M.S., CCC-SLP
• Vickie Boggs
• Jennifer Bohannon, LPC
• Rebecca Suzanne Bohl, PA-C
• Vickie L Bohlender

• Pharmacist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Pharmacist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.