Individual provider Active NPI

Lardner Clark Boyd IV, RPH, PHARMD, MBA

  • Pharmacist
  • Florence, NJ
National Provider Identifier
1669125993
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RIO3850500 Issued in NJ
Practice address
306 Broad St
Florence, NJ 08518-1912
Phone
(609) 499-0100
Fax
(609) 499-9628
NPI assigned
Jan 27, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RIO3850500 NJ Primary

Addresses

Primary practice location

306 Broad St
Florence, NJ 08518-1912

Mailing address

PO Box 1
Florence, NJ 08518-0001
Phone (609) 499-0100

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
Master of Business Administration, Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RIO3850500NJMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Boyds Pharmacy of Florence Inc PastSince Feb 1, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1669125993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "city": "FLORENCE",
            "state": "NJ",
            "postal_code": "085180001",
            "telephone_number": "609-499-0100",
            "fax_number": "609-499-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 BROAD ST",
            "city": "FLORENCE",
            "state": "NJ",
            "postal_code": "085181912",
            "telephone_number": "609-499-0100",
            "fax_number": "609-499-9628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "LARDNER",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "RPH, PHARMD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RIO3850500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.