Active NPI
Micheil Boggs, CPHT
- Pharmacy Technician
- Ontario, OH
National Provider Identifier
1700277282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- J3X7X9F6
- Practice address
- 2205 Walker Lake Rd
Ontario, OH 44903-6519 - Phone
- (419) 747-1450
- NPI assigned
- Feb 5, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | J3X7X9F6 | OH | Primary |
Addresses
Primary practice location
2205 Walker Lake Rd
Ontario, OH 44903-6519
Mailing address
2205 Walker Lake Rd
Ontario, OH 44903-6519
Phone (419) 747-1450
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 |
|---|---|---|---|
| J3X7X9F6 | OH | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1700277282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 WALKER LAKE RD",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449036519",
"telephone_number": "419-747-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 WALKER LAKE RD",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449036519",
"telephone_number": "419-747-1450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGGS",
"first_name": "MICHEIL",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-05",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "OH",
"license": "J3X7X9F6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.