Individual provider Active NPI

Kris Wayne Boyd, PHARMD

  • Pharmacist
  • Shreveport, LA
National Provider Identifier
1750618542
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
18626 Issued in LA
Practice address
1849 Line Ave
Shreveport, LA 71101-4611
Phone
(318) 221-0691
Fax
(318) 865-3972
NPI assigned
Nov 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 18626 LA Primary

Addresses

Primary practice location

1849 Line Ave
Shreveport, LA 71101-4611

Mailing address

1849 Line Ave
Shreveport, LA 71101-4611
Phone (318) 221-0691

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

LicenseStateTypeSpecialty
18626LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pill Box Pharmacy Incorporated PastSince Apr 30, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258329600000",
    "number": "1750618542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014611",
            "telephone_number": "318-221-0691",
            "fax_number": "318-865-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 LINE AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014611",
            "telephone_number": "318-221-0691",
            "fax_number": "318-865-3972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "KRIS",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "18626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.