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SAMUEL BOUCHER
NPI 1467093161
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Logan, UT

Active since October 03, 2019

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2026, Oct 3, 2019 (2 updates tracked since 2019).

About Samuel Boucher NPPES

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

SAMUEL BOUCHER (NPI 1467093161) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Logan, Utah, licensed in Utah (357717-1701) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1467093161
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameSAMUEL BOUCHER
Location Address442 N 175 ELogan, UT 84321-5570
Mailing Address442 N 175 ELogan, UT 84321-5570 · (435) 753-6570
Phone(435) 753-6570
Sole ProprietorNo
Enumeration DateOctober 3, 2019
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1467093161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in UT · 357717-1701
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Also ListedPharmacistTaxonomy 183500000X · License 357717-1701 (UT)
442 N 175 E, Logan, UT 84321
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY PULLEYN
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
442 N 175 E
LOGAN, UT 84321
Cache County (435) 753-6570
SMITHS FOOD & DRUG CENTERS INC
Pharmacy (Community/Retail Pharmacy)
442 N 175 E
LOGAN, UT 84321
Cache County (435) 753-6570

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 Samuel Boucher's NPI number?

The NPI number for Samuel Boucher is 1467093161. It was assigned to this individual provider in the NPPES registry on October 3, 2019.

Where is Samuel Boucher located?

Samuel Boucher practices at 442 N 175 E, Logan, UT 84321. The listed phone number is (435) 753-6570.

What is Samuel Boucher's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Samuel Boucher was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.