Organization Active NPI

Randy B Boland

Doing business as Boland Pharmacy

  • Community/Retail Pharmacy
  • St Matthews, SC
National Provider Identifier
1972672210
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
3440 Issued in SC
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carolyn Boland, RPHNPI 1699856088
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Boland Pharmacy2 organizations share this tax ID, including this one

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.

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.

Verify at the official NPI Registry.