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BOULEVARD PHARMACY INC NPI 1477638567


NPI Information

NPI: 1477638567
Provider Name: BOULEVARD PHARMACY INC

Doing Business As: BOULEVARD PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 37D2207466

Address:
1117 SE FRANK PHILLIPS BLVD
BARTLESVILLE, OK
ZIP 74003
Phone: (918) 336-2140
Get Directions

BOULEVARD PHARMACY INC is a community/retail pharmacy pharmacy in Bartlesville, OK. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. BOULEVARD PHARMACY INC NPI is 1477638567. The provider is registered as an organization entity type.
The provider Is Doing Business As Boulevard Pharmacy.

The provider's business location address is:

1117 SE FRANK PHILLIPS BLVD
BARTLESVILLE, OK
ZIP 74003-319
Phone: (918) 336-2140
Fax: (918) 336-2145

The provider's authorized official is Jacey Cole .
The authorized official title is Owner and has the following contact phone number (918) 336-2140.

The CLIA number assigned to this NPI record is 37D2207466 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 12/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyYes
43336L0003XPharmacyLong Term Care PharmacyNo
53336C0004XPharmacyCompounding PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100232160AMEDICAIDOKLAHOMA
23703801OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.