Active NPI
Sharee Boyle, RPH
- Pharmacist
- Fort Wayne, IN
National Provider Identifier
1972886430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26017093A
- Practice address
- 5435 E Dupont Rd
Fort Wayne, IN 46825-1746 - Phone
- (260) 482-1653
- NPI assigned
- Sep 21, 2011
- Last updated
- Oct 13, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26017093A | IN | Primary |
Addresses
Primary practice location
5435 E Dupont Rd
Fort Wayne, IN 46825-1746
Mailing address
5435 E Dupont Rd
Fort Wayne, IN 46825-1746
Phone (260) 482-1653
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 |
|---|---|---|---|
| 26017093A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1972886430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5435 E DUPONT RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251746",
"telephone_number": "260-482-1653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5435 E DUPONT RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468251746",
"telephone_number": "260-482-1653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYLE",
"first_name": "SHAREE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26017093A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.