Karissa Amber Boyovich, PHARM D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH-0016861 Issued in OR

Practice address

206 E Walnut St
Winlock, WA 98596-9419

Phone

(360) 785-4711

Fax

(360) 785-3109

NPI assigned

Sep 25, 2018

Last updated

Jul 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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

• A W S Inc

  dba Cedar Village Pharmacy

  • Community/Retail Pharmacy
  • Winlock, WA
  • NPI 1356481097
  NPD (past)

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1770068819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536",
            "city": "WINLOCK",
            "state": "WA",
            "postal_code": "985960536",
            "telephone_number": "360-785-4711",
            "fax_number": "360-785-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 E WALNUT ST",
            "city": "WINLOCK",
            "state": "WA",
            "postal_code": "985969419",
            "telephone_number": "360-785-4711",
            "fax_number": "360-785-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYOVICH",
        "first_name": "KARISSA",
        "middle_name": "AMBER",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60925699",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "RPH-0016861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Marie Anderson, LMP
• Joshua Bigner, LMFTA
• Dustin Blackwell, LMT
• Kimberly Renee Blackwell, LMT
• Shannon Rae Blair, MA 60263684
• Deborah L Byrd, LMP
• Tracy Cagle, MA
• Cedar Crest Wholehealthmedicalcenterpllc
• Chuen Y Wong (Eye Care Clinic)
• Devin Clark

• Pharmacist in Winlock, WA
• Providers in Winlock, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; 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.