Active NPI
Brian W. Boone
- Pharmacist
- North Charleston, SC
National Provider Identifier
1851638522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11480
- Practice address
- 3725 Rivers Ave
Suite 2
North Charleston, SC 29405-7038 - Phone
- (843) 745-8631
- Fax
- (843) 747-6841
- NPI assigned
- Jan 14, 2013
- 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 | 11480 | SC | Primary |
Addresses
Primary practice location
3725 Rivers Ave
Suite 2
North Charleston, SC 29405-7038
Mailing address
112 Night Hawk LN
Summerville, SC 29485-7419
Phone (843) 819-2122
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 |
|---|---|---|---|
| 11480 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358121600000",
"number": "1851638522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 NIGHT HAWK LN",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294857419",
"telephone_number": "843-819-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3725 RIVERS AVE",
"address_2": "SUITE 2",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294057038",
"telephone_number": "843-745-8631",
"fax_number": "843-747-6841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOONE",
"first_name": "BRIAN",
"middle_name": "W.",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-14",
"last_updated": "2013-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "11480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.