Austen Boucher
Individual provider Active NPI Pharmacist · Rolla, ND
NPI 1538075296 · NPPES record last updated Aug 21, 2026
Key facts
- NPI
- 1538075296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH6746 (ND)
- Practice address
- 213 2ND Ave NE
Rolla, ND 58367-7153 - Phone
- (701) 477-3161
- NPI assigned
- Aug 21, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH6746 | ND | Yes |
Addresses
Primary practice location
213 2ND Ave NE
Rolla, ND 58367-7153
Mailing address
PO Box 53
Rocklake, ND 58365-0053
Phone (701) 477-3161
Other providers in Rolla, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.