Active NPI
Joy G Boutin
- Pharmacist
- Riverside, RI
National Provider Identifier
1497455356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 04143
- Practice address
- 1086 Willett Ave
Riverside, RI 02915-2067 - Phone
- (401) 433-5710
- Fax
- (401) 433-5713
- NPI assigned
- Mar 8, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 04143 | RI | Primary |
Addresses
Primary practice location
1086 Willett Ave
Riverside, RI 02915-2067
Mailing address
763 Oak Grove Ave Apt 3
Fall River, MA 02720-7435
Phone (401) 741-2796
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04143 | RI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678233600000",
"number": "1497455356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "763 OAK GROVE AVE APT 3",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027207435",
"telephone_number": "401-741-2796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1086 WILLETT AVE",
"city": "RIVERSIDE",
"state": "RI",
"postal_code": "029152067",
"telephone_number": "401-433-5710",
"fax_number": "401-433-5713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUTIN",
"first_name": "JOY",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-08",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "RI",
"license": "04143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.