Clarrissa Bolin

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

121466 Issued in FL

Practice address

2703 N Ponce de Leon Blvd
St Augustine, FL 32084-2603

Phone

(904) 824-2838

NPI assigned

Jun 15, 2026

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

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1578498457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 N PONCE DE LEON BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320842603",
            "telephone_number": "904-824-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 N PONCE DE LEON BLVD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320842603",
            "telephone_number": "904-824-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIN",
        "first_name": "CLARRISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "FL",
            "license": "121466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominic Edward Boehnke
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• Josephine Luz Bokowski, LMHC, NCC, CBA
• Bold City Dermatology LLC
• Marisol Bolivar, DMD, MS
• Lori Ann Bolt, BCBA
• Samantha Bolton, RD
• Javier Bonamego
• Isabel Karine Boneta

• Pharmacy Technician in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Pharmacy Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.