Active NPI
Nathan Donovan Boylston Jr.
- Pharmacist
- Columbia, SC
National Provider Identifier
1881991123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 3509
- Practice address
- 1532 Lake Murray Blvd
Columbia, SC 29212-8622 - Phone
- (803) 732-1975
- NPI assigned
- Feb 23, 2011
- Last updated
- Feb 23, 2011
- Sex
- Male
- Sole proprietor
- No
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 | 3509 | SC | Primary |
Addresses
Primary practice location
1532 Lake Murray Blvd
Columbia, SC 29212-8622
Mailing address
1532 Lake Murray Blvd
Columbia, SC 29212-8622
Phone (803) 732-1975
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 |
|---|---|---|---|
| 3509 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298419200000",
"number": "1881991123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1532 LAKE MURRAY BLVD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292128622",
"telephone_number": "803-732-1975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 LAKE MURRAY BLVD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292128622",
"telephone_number": "803-732-1975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLSTON",
"first_name": "NATHAN",
"middle_name": "DONOVAN",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-23",
"last_updated": "2011-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "3509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.