Active NPI
Glenda Miley Boyle, RPH
- Pharmacist
- Charleston, SC
National Provider Identifier
1902172091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 8523
- Practice address
- 1215 Gilmore Rd
Charleston, SC 29407-5332 - Phone
- (843) 763-0681
- NPI assigned
- Mar 22, 2012
- Sex
- Female
- 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 | 8523 | SC | Primary |
Addresses
Primary practice location
1215 Gilmore Rd
Charleston, SC 29407-5332
Mailing address
3050 Ashley Town Center Dr
Costco Pharmacy
Charleston, SC 29414-5664
Phone (843) 460-2002
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8523 | SC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332374400000",
"number": "1902172091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 ASHLEY TOWN CENTER DR",
"address_2": "COSTCO PHARMACY",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294145664",
"telephone_number": "843-460-2002",
"fax_number": "843-460-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 GILMORE RD",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294075332",
"telephone_number": "843-763-0681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLE",
"first_name": "GLENDA",
"middle_name": "MILEY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-22",
"last_updated": "2012-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "8523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.