Chase Boucher, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2016013122 Issued in MO

Practice address

1272 Town and Country Crossing Dr
Chesterfield, MO 63017-0605

Phone

(636) 591-0235

NPI assigned

Mar 16, 2017

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• KB Kirksville Pharmacy LLC

  • Community/Retail Pharmacy
  • Kirksville, MO
  • NPI 1134579923
  NPD (past)
• KB Kirksville Pharmacy LLC

  • Long Term Care Pharmacy
  • Kirksville, MO
  • NPI 1326684689
  NPD (past)

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1679014245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1272 TOWN AND COUNTRY CROSSING DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630170605",
            "telephone_number": "636-591-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1272 TOWN AND COUNTRY CROSSING DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630170605",
            "telephone_number": "636-591-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUCHER",
        "first_name": "CHASE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-16",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2016013122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Michael Bonofiglio II, RPH
• Jan H Boon, MD
• Janet B Bordenave, LMFT
• Catherine Zaegel Born, PT, DPT
• Prairie J Boschulte, LPC
• Morgan Boudreau, NP
• Douglas Allen Bouldin, FNP-C
• Katherine Bourgerie
• Michelle Bourke
• Bourn and Associates, P.C.

• Pharmacist in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.