Active NPI
Daniel Vann Boshart, RPH
- Pharmacist
- Carthage, NY
National Provider Identifier
1821277351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 034650
- Practice address
- 401 State St
Carthage, NY 13619-1413 - Phone
- (315) 493-0150
- Fax
- (315) 493-3226
- NPI assigned
- Nov 1, 2007
- Last updated
- Mar 30, 2022
- 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 | 034650 | NY | Primary |
Addresses
Primary practice location
401 State St
Carthage, NY 13619-1413
Mailing address
1 N Broad St
Carthage, NY 13619-9503
Phone (315) 493-3606
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | boshartda@kinneydrugs.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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034650 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KPH Healthcare Services, Inc. | Past | Accepting new patients | |
| KPH Healthcare Services, Inc. | Past | Accepting new patients |
Interoperability endpoints
- boshartda@kinneydrugs.com
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.
-
dba Kinney Drugs #06
- Community/Retail Pharmacy
- Carthage, NY
- NPI 1649387820
-
dba Kinney Drugs #153
- Community/Retail Pharmacy
- Brattleboro, VT
- NPI 1407747157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1821277351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 N BROAD ST",
"city": "CARTHAGE",
"state": "NY",
"postal_code": "136199503",
"telephone_number": "315-493-3606",
"fax_number": "315-493-1748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 STATE ST",
"city": "CARTHAGE",
"state": "NY",
"postal_code": "136191413",
"telephone_number": "315-493-0150",
"fax_number": "315-493-3226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSHART",
"first_name": "DANIEL",
"middle_name": "VANN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-01",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "034650",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "boshartda@kinneydrugs.com",
"affiliation": "N",
"endpointDescription": "email address",
"address_1": "23569 County Route 42",
"city": "Carthage",
"state": "NY",
"country_code": "US",
"postal_code": "136199722",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Carthage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.