Active NPI
Monica Ingrid Boser, PHARM.D.
- Pharmacist
- Woodbury, MN
National Provider Identifier
1912283664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 118564
- Practice address
- 1965 Donegal Dr
Woodbury, MN 55125-4870 - Phone
- (651) 735-0722
- Fax
- (651) 735-9248
- NPI assigned
- Oct 26, 2011
- Last updated
- Oct 26, 2011
- Sex
- Female
- 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 | 118564 | MN | Primary |
Addresses
Primary practice location
1965 Donegal Dr
Woodbury, MN 55125-4870
Mailing address
11577 Waterview CT
Woodbury, MN 55129-7773
Phone (651) 337-1124
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118564 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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": "1319587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1912283664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11577 WATERVIEW CT",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551297773",
"telephone_number": "651-337-1124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1965 DONEGAL DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254870",
"telephone_number": "651-735-0722",
"fax_number": "651-735-9248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSER",
"first_name": "MONICA",
"middle_name": "INGRID",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-26",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "118564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.