Sydney Paige Boatman, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

27986 Issued in NC

Practice address

760 Cabarrus Ave W
Concord, NC 28027-6851

Phone

(704) 788-6337

Fax

(704) 788-6338

NPI assigned

Jul 18, 2018

Last updated

Apr 30, 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Livewell Inc

  dba Cannon Pharmacy Morrocroft

  • Community/Retail Pharmacy
  • Charlotte, NC
  • NPI 1558468488
  NPD (past)

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1841776382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 AMARILLO DR SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280270404",
            "telephone_number": "865-323-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 CABARRUS AVE W",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276851",
            "telephone_number": "704-788-6337",
            "fax_number": "704-788-6338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Cabarrus Ave W",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280255150",
            "country_code": "US",
            "telephone_number": "704-933-6337",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1706 S Cannon Blvd",
            "address_purpose": "LOCATION",
            "city": "Kannapolis",
            "state": "NC",
            "postal_code": "280836104",
            "country_code": "US",
            "telephone_number": "704-933-6337",
            "fax_number": "704-933-6374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "521 E Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281158071",
            "country_code": "US",
            "telephone_number": "704-658-9870",
            "fax_number": "704-658-9871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4501 Cameron Valley Pkwy Ste 125",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282114299",
            "country_code": "US",
            "telephone_number": "704-367-7440",
            "fax_number": "704-365-2345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1402 N Cannon Blvd",
            "address_purpose": "LOCATION",
            "city": "Kannapolis",
            "state": "NC",
            "postal_code": "280832662",
            "country_code": "US",
            "telephone_number": "704-933-7948",
            "fax_number": "704-933-7958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2334 South Blvd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282035008",
            "country_code": "US",
            "telephone_number": "704-523-8608",
            "fax_number": "704-523-8619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOATMAN",
        "first_name": "SYDNEY",
        "middle_name": "PAIGE",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "27986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Lynn Blevins Richards, MD
• Kathleen Rockholt Bloom, NP
• Decoya Yahtes Blue
• Eden Blue
• Katherine Ann Blum
• J. Daniel Bobbitt, M.D.
• Marisa Bocklet
• Wesley Winfield Bodie, DO
• Marlee Bodle, CRNA
• Russ A. Bodner, MD

• Pharmacist in Concord, NC
• Providers in Concord, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.