Active NPI
Randy B Boland
Doing business as Boland Pharmacy
- Community/Retail Pharmacy
- St Matthews, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 3440
- Legal business name
- RANDY B BOLAND
- Doing business as
- Boland Pharmacy
- Practice address
- 715 S Harry C Raysor Dr
St Matthews, SC 29135 - Phone
- (803) 655-7753
- Fax
- (803) 655-7754
- NPI assigned
- Nov 8, 2006
- Last updated
- Mar 7, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carolyn Boland, RPH
- Title
- RPH
- Phone
- (803) 829-2547
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 3440 | SC | Primary |
Addresses
Primary practice location
715 S Harry C Raysor Dr
St Matthews, SC 29135
Mailing address
PO Box 235
Saint Matthews, SC 29135-0235
Phone (803) 655-7753
Other names 1
- BOLAND PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- Boland Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Bowman, SC
- NPI 1699856088
-
- Pharmacist
- St Matthews, SC
- NPI 1295879229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488844800000",
"number": "1972672210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 235",
"city": "SAINT MATTHEWS",
"state": "SC",
"postal_code": "291350235",
"telephone_number": "803-655-7753",
"fax_number": "803-655-7754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 S HARRY C RAYSOR DR",
"city": "ST MATTHEWS",
"state": "SC",
"postal_code": "29135",
"telephone_number": "803-655-7753",
"fax_number": "803-655-7754"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANDY B BOLAND",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2017-03-07",
"status": "A",
"authorized_official_last_name": "BOLAND",
"authorized_official_first_name": "CAROLYN",
"authorized_official_title_or_position": "RPH",
"authorized_official_telephone_number": "803-829-2547",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "SC",
"license": "3440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BOLAND PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in St Matthews, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.