DR. CHARLES BRUCE BOGGS II (NPI# 1346353828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346353828 |
| Entity Type | Individual |
| Full Name | DR. CHARLES BRUCE BOGGS II |
| Credential | PHARM.D. |
| Practice Address |
1841 N 25th St Middlesboro KY 40965-1853 |
| Practice Telephone | 6062489330 |
| Practice Fax Number | 6062489337 |
| Mailing Telephone | 6062489330 |
| Mailing Fax Number | 6062489337 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
10521 | KY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | KY LISCENSE # | 10521 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326247768 | Charles Christopher Boggs | Surgery | 8380 Riverwalk Park Blvd Ste 100, Fort Myers, FL 33919-8758 | 2007-07-16 |
| Street Address |
1841 N 25TH ST |
| City | MIDDLESBORO |
| State | KY |
| Zip Code | 40965-1853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528045960 | Rx Discount Pharmacy of Harlan Inc | Pharmacy | 1841 N 25th St, Middlesboro, KY 40965-1853 | 2005-12-28 |
| 1184114613 | Peytliv Inc | Durable Medical Equipment & Medical Supplies | 1841 N 25th St, Middlesboro, KY 40965-1853 | 2018-05-10 |
| 1295151181 | David K Triplett | Pharmacist | 1841 N 25th St, Middlesboro, KY 40965-1853 | 2014-03-15 |
| 1528171477 | Rx Discount Pharmacy of Harlan County Inc. | Durable Medical Equipment & Medical Supplies | 1841 N 25th St, Middlesboro, KY 40965-1853 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396387064 | Christopher Bruce Ellison | Social Worker | 809 19th Street, Middlesboro, KY 40965 | 2019-10-14 |
| 1982255030 | Johnny Wade Nantz II | Case Manager/Care Coordinator | 809 N 19th St, Middlesboro, KY 40965 | 2019-09-20 |
| 1558827774 | August Pediatrics, LLC | Pediatrics | 123 N 19th St Ste 302, Middlesboro, KY 40965 | 2019-02-12 |
| 1558843227 | Bethany Lauren Wade | Case Manager/Care Coordinator | 19th St, 809, Middlesboro, KY 40965 | 2018-08-30 |
| 1124521505 | Sonya Joyce Mcneil | Speech-Language Pathologist | Kidabilities Pediatric Therapy Center, 2801 Highway 25e, Suite 98, Middlesboro, KY 40965 | 2018-03-13 |
| 1518499862 | Vikki Lynn Johnson | Case Manager/Care Coordinator | 809 North 19th Street, Middlesboro, KY 40965 | 2017-03-28 |
| 1184164287 | Wilson Jeffrey | Occupational Therapist | Address: 235 New Wilson Lane, Middlesboro, KY 40965 | 2017-03-08 |
| 1447797444 | Lesha Loretta Williams | Physician Assistant | 2004 Cumberland Ave Ste 100, Middlesboro, KY 40965 | 2017-01-27 |
| 1619423910 | Audra Anissa Hall | Physical Therapist | 108 Turner Lane, Middlesboro, KY 40965 | 2016-08-28 |
| 1700332061 | Tammy Mclain | Counselor | Selfrefind 809 North 19th Street, Middlesboro, KY 40965 | 2016-08-28 |
| Find all providers in zip 40965 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376182782 | Elsayed Hassan | Pharmacist | 3606 Wynbrooke Cir, Louisville, KY 40241-3054 | 2020-01-02 |
| 1720535826 | Sheirin Elabsy | Pharmacist | 6010 Laurel Ln, Prospect, KY 40059-7501 | 2016-09-06 |
| 1528512563 | Kenneth Allen IIi | Pharmacist | 2667 Country Club Dr, Madisonville, KY 42431-3875 | 2016-08-08 |
| 1871905224 | Sharon Mackey | Pharmacist | 351 Meijer Way, Lexington, KY 40503-3493 | 2014-05-20 |
| 1548670979 | Ashley Bowling | Pharmacist | 351 Meijer Way Ste 100, Lexington, KY 40503-3493 | 2014-05-07 |
| 1861824955 | Jonathan Ashley Buckman | Pharmacist | 132 Locust Grove Ct, Bardstown, KY 40004-9450 | 2013-07-31 |
| 1124398110 | Christopher Dale Barger | Pharmacist | 142 Cherry Hill Pkwy, Mount Washington, KY 40047-6794 | 2012-01-06 |
| 1871879536 | Stacy Amburgy Taylor | Pharmacist | 789 S Limestone Ave, Lexington, KY 40536-0596 | 2011-10-26 |
| 1770895476 | John C Cerrito | Pharmacist | 302 Chippendale Ct, Louisville, KY 40214-4303 | 2010-07-09 |
| 1629281837 | Amy Carlton Fegenbush | Pharmacist | 530 S Jackson Street, Louisville, KY 40202-1675 | 2007-05-07 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLESBORO |
| Zip Code | 40965 |
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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.