Active NPI
Deanna Carole Boyette, RPH
- Geriatric Pharmacist
- Moselle, MS
National Provider Identifier
1942338587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- E-08177
- Practice address
- 786 Old Progress Rd
Moselle, MS 39459-9583 - Phone
- (601) 582-5199
- NPI assigned
- Mar 2, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | E-08177 | MS | Primary |
Addresses
Primary practice location
786 Old Progress Rd
Moselle, MS 39459-9583
Mailing address
786 Old Progress Rd
Moselle, MS 39459-9583
Phone (601) 582-5199
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 |
|---|---|---|---|
| E-08177 | MS | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942338587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "786 OLD PROGRESS RD",
"city": "MOSELLE",
"state": "MS",
"postal_code": "394599583",
"telephone_number": "601-582-5199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "786 OLD PROGRESS RD",
"city": "MOSELLE",
"state": "MS",
"postal_code": "394599583",
"telephone_number": "601-582-5199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYETTE",
"first_name": "DEANNA",
"middle_name": "CAROLE",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "MS",
"license": "E-08177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moselle, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.