Individual provider Active NPI

Jocelyn Bolduc, RPH

  • Pharmacist
  • Harlingen, TX
National Provider Identifier
1841569407
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
50937 Issued in TX
Practice address
1002 Dixieland Rd
Target Pharmacy T-0802
Harlingen, TX 78552-5913
Phone
(956) 440-8329
Fax
(956) 440-8329
NPI assigned
Dec 27, 2011
Last updated
Dec 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 50937 TX Primary

Addresses

Primary practice location

1002 Dixieland Rd
Target Pharmacy T-0802
Harlingen, TX 78552-5913

Mailing address

1002 Dixieland Rd
Target Pharmacy T-0802
Harlingen, TX 78552-5913
Phone (956) 440-8329

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

LicenseStateTypeSpecialty
50937TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1841569407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 DIXIELAND RD",
            "address_2": "TARGET PHARMACY T-0802",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785525913",
            "telephone_number": "956-440-8329",
            "fax_number": "956-440-8329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 DIXIELAND RD",
            "address_2": "TARGET PHARMACY T-0802",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785525913",
            "telephone_number": "956-440-8329",
            "fax_number": "956-440-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDUC",
        "first_name": "JOCELYN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "50937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.