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BOULEVARD PHARMACY INC
NPI 1104924133
Pharmacy - Community/Retail Pharmacy in Eden, NC

Active since September 21, 2006
256 THE BLVD, EDEN, NC 27288(336) 623-8448(336) 623-1934 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Boulevard Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOULEVARD PHARMACY INC (NPI 1104924133) is a healthcare organization registered as a community/retail pharmacy in Eden, North Carolina and active in the NPI registry since September 2006. The organization lists William Johnson, Owner Manager President, as its authorized official.

NPPES Registry Identity

NPI1104924133
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBOULEVARD PHARMACY INC
Location Address256 THE BLVDEden, NC 27288-4706
Mailing AddressPo Box 2186Eden, NC 27289-2186
Phone(336) 623-8448
Fax(336) 623-1934
Organization SubpartNo
Authorized OfficialWilliam JohnsonOwner Manager President · (336) 623-8881
Enumeration DateSeptember 21, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1104924133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition

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.

Also ListedPharmacyTaxonomy 333600000X · License 06995 (NC)
256 THE BLVD, Eden, NC 27288
Open in Google Maps ↗

Other Identifiers 2

Other3430674Other Id Number-commercial Number
Medicaid0795732NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boulevard Pharmacy Inc's NPI number?

The NPI number for Boulevard Pharmacy Inc is 1104924133. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is Boulevard Pharmacy Inc located?

Boulevard Pharmacy Inc is located at 256 The Blvd, Eden, NC 27288. The listed phone number is (336) 623-8448.

What is Boulevard Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Boulevard Pharmacy Inc was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.