Active NPI
Marsha M Boss, PD
- Pharmacist
- Little Rock, AR
National Provider Identifier
1669659264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6321
- Practice address
- 152 Pebble Beach Dr
Little Rock, AR 72212-2624 - Phone
- (501) 224-0780
- Fax
- (501) 227-0781
- NPI assigned
- Jan 25, 2008
- Last updated
- Jan 25, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6321 | AR | Primary |
Addresses
Primary practice location
152 Pebble Beach Dr
Little Rock, AR 72212-2624
Mailing address
152 Pebble Beach Dr
Little Rock, AR 72212-2624
Phone (501) 224-0780
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6321 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201219200000",
"number": "1669659264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 PEBBLE BEACH DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722122624",
"telephone_number": "501-224-0780",
"fax_number": "501-227-0781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 PEBBLE BEACH DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722122624",
"telephone_number": "501-224-0780",
"fax_number": "501-227-0781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSS",
"first_name": "MARSHA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-25",
"last_updated": "2008-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "6321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.