Individual provider Active NPI

Pamela G Boykin

  • Pharmacist
  • Tuscaloosa, AL
National Provider Identifier
1508351487
Registry record updated Jun 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
15685 Issued in AL
Practice address
1501 Skyland Blvd E
Tuscaloosa, AL 35405-4231
Phone
(205) 345-4047
Fax
(205) 345-9869
NPI assigned
Jun 24, 2018
Last updated
Jun 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 15685 AL Primary

Addresses

Primary practice location

1501 Skyland Blvd E
Tuscaloosa, AL 35405-4231

Mailing address

1501 Skyland Blvd E
Tuscaloosa, AL 35405-4231
Phone (205) 345-4047

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

LicenseStateTypeSpecialty
15685ALMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1529798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529798400000",
    "number": "1508351487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SKYLAND BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354054231",
            "telephone_number": "205-345-4047",
            "fax_number": "205-345-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SKYLAND BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354054231",
            "telephone_number": "205-345-4047",
            "fax_number": "205-345-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYKIN",
        "first_name": "PAMELA",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-24",
        "last_updated": "2018-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "15685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2018; 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.