NPIMap

Organization Active NPI

Boone's Pharmacy

  • Pharmacy
  • Boyce, LA
National Provider Identifier
1720200900
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
10751 Issued in LA
Legal business name
BOONE'S PHARMACY
Practice address
511 Ulster Street
Boyce, LA 71409
Phone
(318) 793-2400
Fax
(318) 793-9100
NPI assigned
May 3, 2007
Last updated
Sep 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Donald Ray Boone, DOCTOR OF PHARMACYNPI 1245366269
Title
Pharmacist Owner
Phone
(318) 793-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 10751 LA Primary

Addresses

Primary practice location

511 Ulster Street
Boyce, LA 71409

Mailing address

PO Box 791
511 Ulster Street
Boyce, LA 71409
Phone (318) 793-2400

Other identifiers 1

IdentifierTypeStateIssuer
1262552MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1720200900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791",
            "address_2": "511 ULSTER STREET",
            "city": "BOYCE",
            "state": "LA",
            "postal_code": "71409",
            "telephone_number": "318-793-2400",
            "fax_number": "318-793-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 ULSTER STREET",
            "city": "BOYCE",
            "state": "LA",
            "postal_code": "71409",
            "telephone_number": "318-793-2400",
            "fax_number": "318-793-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE'S PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PHARMACIST OWNER",
        "authorized_official_telephone_number": "318-793-2400",
        "authorized_official_credential": "DOCTOR OF PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "LA",
            "license": "10751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1262552",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boyce, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.