Active NPI
James Boutwell, PHARM.D.
- Geriatric Pharmacist
- Hattiesburg, MS
National Provider Identifier
1588043392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- E06534
- Practice address
- 264 Ralph Rawls Rd
Hattiesburg, MS 39402-8356 - Phone
- (601) 606-2662
- NPI assigned
- May 26, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | E06534 | MS | Primary |
Addresses
Primary practice location
264 Ralph Rawls Rd
Hattiesburg, MS 39402-8356
Mailing address
264 Ralph Rawls Rd
Hattiesburg, MS 39402-8356
Phone (601) 606-2662
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E06534 | MS | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432598400000",
"number": "1588043392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 RALPH RAWLS RD",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028356",
"telephone_number": "601-606-2662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 RALPH RAWLS RD",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028356",
"telephone_number": "601-606-2662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUTWELL",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-26",
"last_updated": "2015-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "MS",
"license": "E06534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.