IndividualActive
Terrell Boler
NPI 1366082893 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Brandon, MS
Provider details
- NPI number
- 1366082893
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- E-010540 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1811 W Government St
Brandon, MS 39042-2414
Phone: (601) 825-3773
Fax: (601) 591-4408
Approximate (ZIP-level) locationGet directions
Mailing address
1811 W Government St
Brandon, MS 39042-2414
Registry dates
- Enumerated
- 2020-01-13
- Last updated
- 2020-03-13
- Certified
- 2020-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.