BOULEVARD PHARMACY INC (NPI# 1104924133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104924133 |
| Entity Type | Organization |
| Organization Name | BOULEVARD PHARMACY INC |
| Practice Address |
256 The Blvd Eden NC 27288-4706 |
| Mailing Address |
Po Box 2186 Eden NC 27289-2186 |
| Practice Telephone | 3366238448 |
| Practice Fax Number | 3366231934 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM JOHNSON (OWNER MANAGER PRESIDENT) |
| Authorized Official Telephone | 3366238881 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 333600000X | Pharmacy | 06995 | NC | Suppliers |
| X | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 0795732 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 3430674 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003331612 | Boulevard Pharmacy Inc | Clinic/Center | 8950 W Olympic Blvd Ste 103&104, Beverly Hills, CA 90211-3561 | 2017-08-04 |
| 1871692822 | Boulevard Pharmacy Inc | Pharmacy | 8950 W Olympic Blvd, Beverly Hills, CA 90211-3561 | 2006-09-22 |
| 1588733869 | Boulevard Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1117 Se Frank Phillips Blvd, Bartlesville, OK 74003-4319 | 2006-11-08 |
| 1477638567 | Boulevard Pharmacy Inc | Pharmacy | 1117 Se Frank Phillips Blvd, Bartlesville, OK 74003-4319 | 2006-10-26 |
| Street Address |
256 THE BLVD |
| City | EDEN |
| State | NC |
| Zip Code | 27288-4706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781297 | Bailey Shea Scism | Pharmacist | 103 W Stadium Dr., Eden, NC 27288 | 2020-08-17 |
| 1538640628 | Donnell Corey Brown Jr. | Technician | 519 Orchard Drive, Eden, NC 27288 | 2018-08-27 |
| 1851728182 | Linda Mitchell | Physical Therapy Assistant | 114 E Kings Hwy, Eden, NC 27288 | 2013-10-01 |
| 1033341573 | Central State of The Carolinas, Inc. | Day Training, Developmentally Disabled Services | 229 Cedar St., Eden, NC 27288 | 2009-08-18 |
| 1114186483 | Enrich Cosmetic Center | Internal Medicine | 406 B Thompson St, Eden, NC 27288 | 2008-06-03 |
| 1265630891 | John R. Dabbs Jr. Dc PC | Preferred Provider Organization | 405 Boone Road, Eden, NC 27288 | 2007-07-05 |
| 1235283961 | James Harrison Eggleston | Dentist | 113 West Arbor Lane, Eden, NC 27288 | 2007-01-22 |
| 1962563940 | Barbara Collins Tanner | Nurse Practitioner | 134 North Pierce Street, Morehead High School Student Health Center, Eden, NC 27288 | 2006-12-13 |
| 1285690974 | Robert Maurice Vaughn | Chiropractor | 405 Boone Rd, Eden, NC 27288 | 2006-04-22 |
| 1619930666 | Direct Respiratory Services | Durable Medical Equipment & Medical Supplies | 302a North Pierce Street, Eden, NC 27288 | 2006-04-10 |
| Find all providers in zip 27288 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407873664 | Wal-mart Stores East Lp | Pharmacy | 304 E Arbor Ln, Eden, NC 27288-5396 | 2006-07-16 |
| 1851698385 | Layne's Family Pharmacy, Inc. | Pharmacy | 509 S Van Buren Rd, Eden, NC 27288-5082 | 2011-02-18 |
| 1992992531 | Laynecare LLC | Pharmacy | 509 S Van Buren Rd, Ste A, Eden, NC 27288-5082 | 2007-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163135 | Bl Apothecary | Pharmacy | 2739 W 5th St, Lumberton, NC 28358-7819 | 2020-10-31 |
| 1730795873 | Vaxclinic, LLC | Pharmacy | 4400 Park Rd Ste 316, Charlotte, NC 28209-3289 | 2020-09-22 |
| 1720692908 | Geriatrx | Pharmacy | 1655 Snowmass Way, Durham, NC 27713-4514 | 2020-09-03 |
| 1245841279 | Novant Health Pharmacy Services, LLC | Pharmacy | 125 Queens Rd Ste 180, Charlotte, NC 28204-3215 | 2020-08-13 |
| 1912516287 | Pinetops Pharmacy, Inc. | Pharmacy | 102 W. Hamlet St, Pinetops, NC 27864 | 2020-07-23 |
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1629618285 | Dalia Zaghlool | Pharmacy | 4353 Milhaven Park Ln, Winston Salem, NC 27106-4970 | 2020-01-12 |
| 1770123887 | Scotland Memorial Hospital Inc | Pharmacy | 700 Progress Pl, Laurinburg, NC 28352-5545 | 2020-01-07 |
| 1194361832 | Realo Veterinary Pharmacy Inc | Pharmacy | 3800 Gateway Centre Blvd Ste 308a, Morrisville, NC 27560-6220 | 2019-11-18 |
| 1952946246 | Emily Hodges Hall | Pharmacy | 627 E 12th Street, Washington, NC 27889 | 2019-11-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.