Active NPI
Evan Nicole Boyett, PHARM.D.
- Pharmacist
- Johnson City, TN
National Provider Identifier
1942553797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 34205
- Practice address
- 3019 Peoples St
Johnson City, TN 37604-1442 - Phone
- (423) 854-0902
- NPI assigned
- Oct 17, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 34205 | TN | Primary |
| Pharmacist | 183500000X | 16451 | AL |
Addresses
Primary practice location
3019 Peoples St
Johnson City, TN 37604-1442
Mailing address
3019 Peoples St
Johnson City, TN 37604-1442
Phone (423) 854-0902
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 |
|---|---|---|---|
| 16451 | AL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1942553797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3019 PEOPLES ST",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376041442",
"telephone_number": "423-854-0902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3019 PEOPLES ST",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376041442",
"telephone_number": "423-854-0902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYETT",
"first_name": "EVAN",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-17",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "34205",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "16451",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.