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BOULEVARD PHARMACY
NPI 1477638567
Pharmacy - Community/Retail Pharmacy in Bartlesville, OK

Active since October 26, 2006
1117 SE FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74003(918) 336-2140(918) 336-2145 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 8, 2021, Aug 5, 2020 (2 updates tracked since 2020).

About Boulevard Pharmacy NPPES

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

BOULEVARD PHARMACY (NPI 1477638567) is a healthcare organization registered as a community/retail pharmacy in Bartlesville, Oklahoma and active in the NPI registry since October 2006. The organization lists Jacey Cole, Owner, as its authorized official.

NPPES Registry Identity

NPI1477638567
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBOULEVARD PHARMACY INC
Location Address1117 SE FRANK PHILLIPS BLVDBartlesville, OK 74003-4319
Mailing Address1117 Se Frank Phillips BlvdBartlesville, OK 74003-4319 · (918) 336-2140 · Fax (918) 336-2145
Phone(918) 336-2140
Fax(918) 336-2145
Organization SubpartNo
Authorized OfficialJacey ColeOwner · (918) 336-2140
Enumeration DateOctober 26, 2006
Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration
NPPES CertifiedDecember 8, 2021
✔ NPI 1477638567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
1117 SE FRANK PHILLIPS BLVD, Bartlesville, OK 74003
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Other Names 1

Doing Business AsBoulevard Pharmacy

Other Identifiers 2

Medicaid100232160AOK
Other3703801Ncpdp Provider Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Mending Health, Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 6

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

GARY WALTER BELL JR. R.PH.
Pharmacist
1117 SE FRANK PHILLIPS BLVD
BARTLESVILLE, OK 74003
Osage County (918) 336-2140
DR. JAMES CRAIG SUTTERFIELD
Pharmacist
1117 SE FRANK PHILLIPS BLVD
BARTLESVILLE, OK 74003
Osage County (918) 336-2141
DR. JOSHUA LENNON RUSSELL PHARMD
Pharmacist
1117 SE FRANK PHILLIPS BLVD
BARTLESVILLE, OK 74003
Osage County (918) 336-2140
MS. JULIE BETH WILLIAMSON RPH
Pharmacist
1117 SE FRANK PHILLIPS BLVD
BARTLESVILLE, OK 74003
Osage County (918) 336-2140
BOULEVARD PHARMACY INC
Durable Medical Equipment & Medical Supplies
1117 SE FRANK PHILLIPS BLVD
BARTLESVILLE, OK 74003
Osage County (918) 336-2388
MR. JAMES NEIL MAXWELL DPH
Pharmacist
1117 SE FRANK PHILLIPS BLVD
BARTLESVILLE, OK 74003
Osage County (918) 336-2140

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 1477638567. It was assigned to this organization in the NPPES registry on October 26, 2006. The provider is doing business as Boulevard Pharmacy.

Where is Boulevard Pharmacy Inc located?

Boulevard Pharmacy Inc is located at 1117 SE Frank Phillips Blvd, Bartlesville, OK 74003. The listed phone number is (918) 336-2140.

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.

What insurance does Boulevard Pharmacy Inc accept?

Health plans from Medica, Mending Health and Moda Health Plan, Inc. list Boulevard Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Boulevard Pharmacy Inc was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.