Individual provider Active NPI

Alexandra Boardway

  • Pharmacist
  • North Adams, MA
National Provider Identifier
1730776576
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
239884 Issued in MA
Practice address
45 Veterans Memorial Dr
North Adams, MA 01247-2359
Phone
(413) 664-8712
NPI assigned
Dec 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 239884 MA Primary

Addresses

Primary practice location

45 Veterans Memorial Dr
North Adams, MA 01247-2359

Mailing address

117 Hudson St
S Glens Falls, NY 12803-4923
Phone (518) 307-0640

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rx01131@cvshealth.com

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

LicenseStateTypeSpecialty
239884MAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1730776576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 HUDSON ST",
            "city": "S GLENS FALLS",
            "state": "NY",
            "postal_code": "128034923",
            "telephone_number": "518-307-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 VETERANS MEMORIAL DR",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012472359",
            "telephone_number": "413-664-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOARDWAY",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "239884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rx01131@cvshealth.com",
            "affiliation": "N",
            "address_1": "45 Veterans Memorial Dr",
            "city": "North Adams",
            "state": "MA",
            "country_code": "US",
            "postal_code": "012472359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Adams, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.