Organization Active NPI

Boyette Enterprises LLC

Doing business as Concept Pharmacy

  • Pharmacist
  • Virginia Beach, VA
National Provider Identifier
1710534086
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
Legal business name
BOYETTE ENTERPRISES LLC
Doing business as
Concept Pharmacy
Practice address
3852 Virginia Beach Blvd Unit B
Virginia Beach, VA 23452-2489
Phone
(757) 567-0798
Fax
(757) 366-2252
NPI assigned
Aug 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Authorized official

Name
Jessica Craven
Title
Executive Officer
Phone
(757) 968-6200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X Primary

Addresses

Primary practice location

3852 Virginia Beach Blvd Unit B
Virginia Beach, VA 23452-2489

Mailing address

1200 Witchduck Bay CT
Virginia Beach, VA 23455-5621
Phone (757) 567-0798

Other names 1

  • Concept Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

3852 Virginia Beach Blvd
Unit B
Virginia Beach, VA 23452
Phone (757) 567-0798

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1710534086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 WITCHDUCK BAY CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555621",
            "telephone_number": "757-567-0798",
            "fax_number": "757-366-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3852 VIRGINIA BEACH BLVD UNIT B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234522489",
            "telephone_number": "757-567-0798",
            "fax_number": "757-366-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYETTE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "CRAVEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "757-968-6200"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concept Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.