Individual provider Active NPI

Allison Lindsay Boozer, DVM. DIPLOMATE,ACVIM

  • Oncology Pharmacist
  • Marietta, GA
National Provider Identifier
1740454198
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology PharmacistTaxonomy code 1835X0200X
License
VET006255 Issued in AL
Practice address
630 Cobb Pkwy N
Ste a
Marietta, GA 30062-3372
Phone
(678) 354-7126
Fax
(678) 355-0114
NPI assigned
Apr 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Pharmacist 1835X0200X VET006255 AL Primary

Addresses

Primary practice location

630 Cobb Pkwy N
Ste a
Marietta, GA 30062-3372

Mailing address

630 Cobb Pkwy N
Ste a
Marietta, GA 30062-3372
Phone (678) 354-7126

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
VET006255ALMDOncology Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1740454198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 COBB PKWY N",
            "address_2": "STE A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623372",
            "telephone_number": "678-354-7126",
            "fax_number": "678-355-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 COBB PKWY N",
            "address_2": "STE A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623372",
            "telephone_number": "678-354-7126",
            "fax_number": "678-355-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOZER",
        "first_name": "ALLISON",
        "middle_name": "LINDSAY",
        "name_prefix": "Dr.",
        "credential": "DVM. DIPLOMATE,ACVIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "AL",
            "license": "VET006255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.