OrganizationActive
Boulevard Pharmacy Inc
NPI 1104924133 · Community/Retail Pharmacy · Eden, NC
Boulevard Pharmacy Inc is a Community/Retail Pharmacy organization in Eden, NC (NPI 1104924133).
Provider details
- NPI number
- 1104924133
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- William Johnson, Owner Manager President(336) 623-8881
- License
- 06995 (NC)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
256 the Blvd
Eden, NC 27288-4706
Phone: (336) 623-8448
Fax: (336) 623-1934
Street-level locationGet directions
Mailing address
Po Box 2186
Eden, NC 27289-2186
Registry dates
- Enumerated
- 2006-09-21
- Last updated
- 2025-09-11
Frequently asked questions
- What is Boulevard Pharmacy Inc's NPI number?
- Boulevard Pharmacy Inc's National Provider Identifier (NPI) is 1104924133, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boulevard Pharmacy Inc?
- Boulevard Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Boulevard Pharmacy Inc located?
- Boulevard Pharmacy Inc's practice location on file with NPPES is 256 the Blvd, Eden, NC 27288-4706.
- What is Boulevard Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Boulevard Pharmacy Inc is (336) 623-8448.
- Who is the authorized official for Boulevard Pharmacy Inc?
- The authorized official listed on Boulevard Pharmacy Inc's NPPES record is William Johnson, Owner Manager President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boulevard Pharmacy Inc's NPI active?
- Yes — Boulevard Pharmacy Inc's NPI (1104924133) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.