BOOBIL, LLC (NPI# 1679193130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679193130 |
| Entity Type | Organization |
| Organization Name | BOOBIL, LLC |
| Practice Address |
6460 Hwy 84 Patterson GA 31557-5016 |
| Practice Telephone | 9126470777 |
| Mailing Telephone | 9126470777 |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-04-24 |
| Authorized Official Name | CANDACE WANDA BOATRIGHT (OWNER) |
| Authorized Official Telephone | 9122823072 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Patterson Pharmacare | Doing Business As Name - Organization |
| Street Address |
6460 HWY 84 |
| City | PATTERSON |
| State | GA |
| Zip Code | 31557-5016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023135316 | Patterson Pharmacare, Inc. | Durable Medical Equipment & Medical Supplies | 6460 Hwy 84, Patterson, GA 31557-5016 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891071296 | Phyllis Susan Raulerson | Early Intervention Provider Agency | 5955 Owens Road, Patterson, GA 31557 | 2011-10-30 |
| 1376966317 | Brandy Marie Scott | Pharmacist | 3436 Hopewell Rd, Patterson, GA 31557-2424 | 2014-01-28 |
| 1053400689 | Bacon Co. Health Services, Inc. | General Acute Care Hospital | 3406 Wildwood Ave., Patterson, GA 31557-5065 | 2006-10-12 |
| 1770956765 | Marrian Daniels | Counselor | 3350 Tyre Bridge Rd, Patterson, GA 31557-5083 | 2015-11-12 |
| 1023173804 | Sara Mcarthur | Clinical Neuropsychologist | 5920 Reese St, Patterson, GA 31557-5131 | 2006-12-22 |
| 1649511544 | Stefany Raye Morgan | Counselor | 5920 Reese St, Patterson, GA 31557-5131 | 2013-03-04 |
| 1316230899 | Cord of Three Counseling Services, Inc. | Community/Behavioral Health | 5920 Reese St, Patterson, GA 31557-5131 | 2011-05-17 |
| 1720257132 | Clay Dexter Gill | Counselor | 5920 Reese St, Patterson, GA 31557-5131 | 2008-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220453 | Sasha Jackson, LLC | Clinic/Center | 480 Ridge Creek Ln, Patterson, CA 95363-8776 | 2020-09-21 |
| 1932713104 | Bibin Chacko | Speech-Language Pathologist | 535 Peregrine Dr, Patterson, CA 95363-8703 | 2020-09-03 |
| 1407460017 | Sneha Kommu | Speech-Language Pathologist | 775 N Hartley St, Patterson, CA 95363-2477 | 2020-09-01 |
| 1386257368 | Luis Castillo | Behavior Technician | 1513 Minnie St, Patterson, CA 95363-9456 | 2020-08-28 |
| 1457969511 | Dawn Louise Garcia | Nurse Practitioner | 547 Nicastro Dr, Patterson, CA 95363-9780 | 2020-07-15 |
| 1174146062 | Samantha Donahue | Licensed Practical Nurse | 94 Patterson Village Ct, Patterson, NY 12563-2420 | 2020-05-26 |
| 1518587302 | Cler Vicentina Aquillas | Nurse Practitioner | 1108 Ward Ave Ste 1, Patterson, CA 95363-8529 | 2020-04-21 |
| 1962032318 | Salutem C, LLC | Hospice Care, Community Based | 254 Sperry Ave Ste 6, Patterson, CA 95363-2762 | 2020-01-23 |
| 1609419688 | Brooke Ashley Umfleet | Occupational Therapist | Rr 1 Box 11470, Patterson, MO 63956-8712 | 2019-10-23 |
| 1255988176 | Gwynderlyn Patreac Jenkins | Specialist | 220 N El Circulo Ave, Patterson, CA 95363-2521 | 2019-08-26 |
| Find all providers in PATTERSON | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144471244 | Fourco Inc | Pharmacy | 516 Church St, Patterson, LA 70392 | 2008-10-07 |
| 1891774139 | Save Mart Supermarkets | Pharmacy | 1035 Sperry Ave, Patterson, CA 95363-9266 | 2006-01-13 |
| 1194069724 | Walmart Inc. | Pharmacy | 1030 Sperry Ave, Patterson, CA 95363-9267 | 2012-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1184225526 | Svdp Georgia Community Pharmacy LLC | Pharmacy | 2050 Chamblee Tucker Rd Ste C, Chamblee, GA 30341-3343 | 2020-11-03 |
| 1194325860 | Panola Pharmacy LLC | Pharmacy | 2348 Panola Rd Unit C, Lithonia, GA 30058-5406 | 2020-10-30 |
| 1659971539 | Bob and Jeff's Hometown Pharmacy of Thomasville, LLC | Pharmacy | 309 Smith Ave, Thomasville, GA 31792-5534 | 2020-10-29 |
| 1679171979 | Dfg LLC | Pharmacy | 638 Historic Hwy 441 Suite A, Demorest, GA 30530 | 2020-10-09 |
| 1033716915 | Au Medical Center, Inc. | Pharmacy | 818 Saint Sebastian Way Ste 402, Augusta, GA 30901-2654 | 2020-10-05 |
| 1043817208 | Mlk Pharmacy2.0 | Pharmacy | 2457 Mlk Jr Dr Sw Ste A, Atlanta, GA 30311-1712 | 2020-10-01 |
| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
| 1205446341 | Sunny Pharmacy | Pharmacy | 5364 Jonesboro Rd, Lake City, GA 30260-3557 | 2020-08-04 |
| 1841818044 | Hospital Authority of Miller County | Pharmacy | 213 Delores Street, Colquitt, GA 39837 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BOOBIL, LLC.
| 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.