Active NPI
Latarshia Boone, PHARM.D.
- Pharmacist
- Raleigh, NC
National Provider Identifier
1720600505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17149
- Practice address
- 11913 Sycamore Grove LN
Raleigh, NC 27614-7999 - Phone
- (919) 623-4300
- NPI assigned
- May 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17149 | NC | Primary |
Addresses
Primary practice location
11913 Sycamore Grove LN
Raleigh, NC 27614-7999
Mailing address
11913 Sycamore Grove LN
Raleigh, NC 27614-7999
Phone (919) 623-4300
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | vpn | Direct | |
| CONNECT URL | token | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 17149 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589414400000",
"number": "1720600505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11913 SYCAMORE GROVE LN",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276147999",
"telephone_number": "919-623-4300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11913 SYCAMORE GROVE LN",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276147999",
"telephone_number": "919-623-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOONE",
"first_name": "LATARSHIA",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-14",
"last_updated": "2020-05-14",
"certification_date": "2020-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "17149",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "vpn",
"affiliation": "N",
"endpointDescription": "token",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11913 Sycamore Grove Ln",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276147999",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "token",
"affiliation": "N",
"endpointDescription": "vpn",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "11913 Sycamore Grove Ln",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276147999",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.