IndividualActive
Anne Boulom, RPH
NPI 1740577832 · Pharmacist · Clovis, CA
Provider details
- NPI number
- 1740577832
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- Yes
- License
- 55362 (CA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
695 W Herndon Ave
T-2018
Clovis, CA 93612-0104
Phone: (559) 321-0010
Fax: (559) 326-1351
Street-level locationGet directions
Mailing address
695 W Herndon Ave
Clovis, CA 93612-0104
Registry dates
- Enumerated
- 2011-07-08
- Last updated
- 2011-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.