Active NPI
Harry Bougard
- Pharmacist
- Stuart, FL
National Provider Identifier
1801255963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS54536
- Practice address
- 2110 SE Ocean Blvd
Stuart, FL 34996-3306 - Phone
- (772) 283-1045
- NPI assigned
- Feb 17, 2016
- Last updated
- Feb 17, 2016
- Sex
- Male
- Sole proprietor
- No
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 | PS54536 | FL | Primary |
Addresses
Primary practice location
2110 SE Ocean Blvd
Stuart, FL 34996-3306
Mailing address
480 Hibiscus St Ste 242
West Palm Beach, FL 33401-5870
Phone (561) 345-5506
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS54536 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455667200000",
"number": "1801255963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "480 HIBISCUS ST STE 242",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334015870",
"telephone_number": "561-345-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 SE OCEAN BLVD",
"city": "STUART",
"state": "FL",
"postal_code": "349963306",
"telephone_number": "772-283-1045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUGARD",
"first_name": "HARRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-17",
"last_updated": "2016-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS54536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.