Active NPI
Phillip Justin Boyd, PHARM.D.
- Pharmacist
- Alma, AR
National Provider Identifier
1821313305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD9128
- Practice address
- 18 Hwy 162 South
Alma, AR 72921 - Phone
- (479) 632-2248
- Fax
- (479) 632-2386
- NPI assigned
- Mar 29, 2010
- Last updated
- Mar 29, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 | PD9128 | AR | Primary |
Addresses
Primary practice location
18 Hwy 162 South
Alma, AR 72921
Mailing address
PO Box 2550
Alma, AR 72921-2550
Phone (479) 632-2248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PD9128 | Other | AR | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PD9128 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coleman Pharmacy of Crawford County Inc. | Current | Accepting new patients | |
| Coleman Pharmacy of Crawford County Inc. | Current | Accepting new patients | |
| Coleman Pharmacy of Alma Inc | Pharmacist | Past | Accepting new patients |
Organizations & group practices 3
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 Coleman Pharmacy Long Term Care
- Long Term Care Pharmacy
- Alma, AR
- NPI 1730940487
-
dba Coleman Pharmacy of Alma
- Community/Retail Pharmacy
- Alma, AR
- NPI 1295964047
-
- Pharmacist
- Alma, AR
- NPI 1306942438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269820800000",
"number": "1821313305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2550",
"city": "ALMA",
"state": "AR",
"postal_code": "729212550",
"telephone_number": "479-632-2248",
"fax_number": "479-632-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 HWY 162 SOUTH",
"city": "ALMA",
"state": "AR",
"postal_code": "72921",
"telephone_number": "479-632-2248",
"fax_number": "479-632-2386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "PHILLIP",
"middle_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-29",
"last_updated": "2010-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD9128",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "PD9128",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alma, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.