Individual provider Active NPI

Erin Kaye Boral, PHARMD

  • Pharmacist
  • Joint Base MDL, NJ
National Provider Identifier
1689326332
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI04202300 Issued in NJ
Practice address
3458 Neely Rd
Joint Base MDL, NJ 08641-5312
Phone
(609) 754-9464
Fax
(609) 754-9133
NPI assigned
Jan 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 28RI04202300 NJ Primary
Pharmacist 183500000X PHA.0023727 CO
Pharmacist 183500000X 20186 NV

Addresses

Primary practice location

3458 Neely Rd
Joint Base MDL, NJ 08641-5312

Mailing address

832B Froelich Ave
Joint Base MDL, NJ 08640-1818
Phone (702) 501-3235

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

LicenseStateTypeSpecialty
PHA.0023727COMDPharmacist
28RI04202300NJMDPharmacist
20186NVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1689326332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832B FROELICH AVE",
            "city": "JOINT BASE MDL",
            "state": "NJ",
            "postal_code": "086401818",
            "telephone_number": "702-501-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3458 NEELY RD",
            "city": "JOINT BASE MDL",
            "state": "NJ",
            "postal_code": "086415312",
            "telephone_number": "609-754-9464",
            "fax_number": "609-754-9133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORAL",
        "first_name": "ERIN KAYE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04202300",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "PHA.0023727",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NV",
            "license": "20186",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joint Base MDL, NJ

Sources for this page

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