DR. CHARLES GIBSON BOENIG (NPI# 1972794915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972794915 |
| Entity Type | Individual |
| Full Name | DR. CHARLES GIBSON BOENIG |
| Credential | PHARMD |
| Practice Address |
4415 Guinevere Ln Pomfret MD 20675-3205 |
| Practice Telephone | 3019344947 |
| Mailing Telephone | 3019344947 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 10409 | MD | Pharmacy Service Providers |
| Street Address |
4415 GUINEVERE LN |
| City | POMFRET |
| State | MD |
| Zip Code | 20675-3205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578686291 | Rene Earle Grace | General Practice | 7503 Surratts Road, Clinton, MD 20675 | 2007-04-09 |
| 1275055717 | Julianne Lo Grasso | Specialist/Technologist | 7165 Marshall Corner Rd, Pomfret, MD 20675-3047 | 2017-07-15 |
| 1205440328 | Courtney Lavon Phillip | Nurse Practitioner | 4461 Pleasant Hill Ct, Pomfret, MD 20675-3104 | 2020-09-04 |
| 1295068450 | Kathleen Carpentier Snellings | Dentist | 4300 Wynham Pl, Pomfret, MD 20675-3204 | 2009-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440328 | Courtney Lavon Phillip | Nurse Practitioner | 4461 Pleasant Hill Ct, Pomfret, MD 20675-3104 | 2020-09-04 |
| 1255978029 | William Alexander Harrington | Specialist/Technologist | 398 Pomfret St, Pomfret, CT 06258-8002 | 2019-11-29 |
| 1275055717 | Julianne Lo Grasso | Specialist/Technologist | 7165 Marshall Corner Rd, Pomfret, MD 20675-3047 | 2017-07-15 |
| 1295068450 | Kathleen Carpentier Snellings | Dentist | 4300 Wynham Pl, Pomfret, MD 20675-3204 | 2009-09-04 |
| 1669447710 | Leonard E Averill | Obstetrics & Gynecology | 16 Kings Highway, Pomfret, CT 06258 | 2006-02-22 |
| 1467442913 | Pomfret Fire District | Ambulance | 67 Hampton Rd, Pomfret, CT 06258-0306 | 2005-10-26 |
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700853 | Sheldon Marc Godfrey | Pharmacist | 4408 Whimsey Ln, Olney, MD 20832-2833 | 2020-11-06 |
| 1588265623 | Michael Tyler Lundy | Pharmacist | 7920 Belair Rd, Baltimore, MD 21236-3706 | 2020-11-05 |
| 1326649534 | John Alexander Dix | Pharmacist | 9 Cranbrook Rd, Cockeysville, MD 21030-3403 | 2020-11-04 |
| 1679174759 | Felisa Goles | Pharmacist | 3299 Emmorton Rd, Abingdon, MD 21009-2013 | 2020-11-04 |
| 1598366759 | Christine Simmons | Pharmacist | 10210 Mill Run Cir, Owings Mills, MD 21117-4214 | 2020-11-04 |
| 1982205274 | Marilyn Jeanne Chalkley | Pharmacist | 3530 Sugarloaf Pkwy, Frederick, MD 21704-7909 | 2020-11-04 |
| 1295336618 | Rupesh Sheth | Pharmacist | Sams's Club, 3535 Russett Green E, Laurel, MD 20724 | 2020-11-03 |
| 1821699265 | Marisa Witkin | Pharmacist | 18140 Village Mart Dr, Olney, MD 20832-1413 | 2020-11-03 |
| 1093316648 | Jaime Walker | Pharmacist | 8910 Route 108 Ste C, Columbia, MD 21045-2151 | 2020-11-02 |
| 1063012631 | Olawunmi Aina | Pharmacist | 2217 Jacob Way, Gambrills, MD 21054-2150 | 2020-10-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. CHARLES GIBSON BOENIG.
| 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.