IndividualActive
Boonsanong Lucktong
NPI 1114495090 · Ambulatory Care Pharmacist · Roanoke, VA
Boonsanong Lucktong is a Ambulatory Care Pharmacist provider in Roanoke, VA (NPI 1114495090).
Provider details
- NPI number
- 1114495090
- Entity type
- Individual
- Primary specialty
- Ambulatory Care PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 0202206409 (VA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
1906 Belleview Ave Se
Roanoke, VA 24014-1838
Phone: (540) 266-6288
Street-level locationGet directions
Mailing address
1906 Belleview Ave Se
Roanoke, VA 24014-1838
Registry dates
- Enumerated
- 2018-11-08
- Last updated
- 2018-11-08
Frequently asked questions
- What is Boonsanong Lucktong's NPI number?
- Boonsanong Lucktong's National Provider Identifier (NPI) is 1114495090, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Boonsanong Lucktong's specialty?
- Boonsanong Lucktong is listed in the NPPES registry with a primary specialty of Ambulatory Care Pharmacist (Pharmacy Service Providers).
- Where is Boonsanong Lucktong located?
- Boonsanong Lucktong's practice location on file with NPPES is 1906 Belleview Ave Se, Roanoke, VA 24014-1838.
- What is Boonsanong Lucktong's phone number?
- The practice phone number listed in the NPPES registry for Boonsanong Lucktong is (540) 266-6288.
- Is Boonsanong Lucktong's NPI active?
- Yes — Boonsanong Lucktong's NPI (1114495090) is active in the NPPES registry as of the last update on 2018-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.