Active NPI
Thomas Edward Boone Jr., PD
- Pharmacist
- Gonzales, LA
National Provider Identifier
1851656979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 9874
- Practice address
- 115 S Airline Hwy
Gonzales, LA 70737-3633 - Phone
- (225) 647-7980
- Fax
- (225) 647-8369
- NPI assigned
- Jul 5, 2012
- 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 | 9874 | LA | Primary |
Addresses
Primary practice location
115 S Airline Hwy
Gonzales, LA 70737-3633
Mailing address
115 S Airline Hwy
Gonzales, LA 70737-3633
Phone (225) 647-7980
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 |
|---|---|---|---|
| 9874 | LA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341446400000",
"number": "1851656979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 S AIRLINE HWY",
"city": "GONZALES",
"state": "LA",
"postal_code": "707373633",
"telephone_number": "225-647-7980",
"fax_number": "225-647-8369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 S AIRLINE HWY",
"city": "GONZALES",
"state": "LA",
"postal_code": "707373633",
"telephone_number": "225-647-7980",
"fax_number": "225-647-8369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOONE",
"first_name": "THOMAS",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-05",
"last_updated": "2012-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "9874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.