Charles Boamah, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

51511 Issued in CA

Practice address

10925 Breckenridge Dr
San Diego, CA 92131-6121

Phone

(858) 368-9943

NPI assigned

Jun 5, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1699113290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10925 BRECKENRIDGE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921316121",
            "telephone_number": "858-368-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10925 BRECKENRIDGE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921316121",
            "telephone_number": "858-368-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOAMAH",
        "first_name": "CHARLES",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "51511",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "CA",
            "license": "51511",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "51511",
            "primary": false
        },
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "CA",
            "license": "51511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Blumenstein, MD
• Justine Blumenstock, OD
• Jill Sara Blumenthal, M.D.
• Allure Blunt
• Blvd Centers, Inc
• Lynelle M. Boamah, MD
• Ebone Kay Board, NONE
• Kendra Boardingham
• Courtney Boatman, LMFT 93417
• Joy Lynn Boatman, PSY.D.

• All providers in San Diego, CA
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; 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.