Active NPI
Shawn P Boley, R.PH.
- Pharmacist
- New York, NY
National Provider Identifier
1932473683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 048891
- Practice address
- 333 E 38TH St
Center for Musculoskeletal Care Pharmacy 4TH Floor
New York, NY 10016-2772 - Phone
- (646) 501-7198
- NPI assigned
- Feb 28, 2012
- 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 | 048891 | NY | Primary |
Addresses
Primary practice location
333 E 38TH St
Center for Musculoskeletal Care Pharmacy 4TH Floor
New York, NY 10016-2772
Mailing address
14 Maiden LN
Apt 5
New York, NY 10038-4022
Phone (347) 277-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275486 | Other | NY | NABP |
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 |
|---|---|---|---|
| 048891 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330387200000",
"number": "1932473683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 MAIDEN LN",
"address_2": "APT 5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100384022",
"telephone_number": "347-277-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 E 38TH ST",
"address_2": "CENTER FOR MUSCULOSKELETAL CARE PHARMACY 4TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100162772",
"telephone_number": "646-501-7198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLEY",
"first_name": "SHAWN",
"middle_name": "P",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-28",
"last_updated": "2012-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "048891",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "275486",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.