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Boulevard Pharmacy Inc

Community/Retail Pharmacy in Bartlesville, OK · enumerated 2006 · authorized official Jacey Cole, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477638567

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Boulevard Pharmacy Inc
Other name <Unavail>
Practice address 1117 Se Frank Phillips Blvd, Bartlesville, OK, 74003
Fax (918) 336-2145
Enumeration date Oct 26, 2006
Last updated in NPPES Dec 8, 2021

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
333600000X Pharmacy Suppliers Secondary
3336C0004X Compounding Pharmacy Suppliers Secondary
3336L0003X Long Term Care Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Jacey Cole
Title Owner

Other identifiers

Identifier Type State Issuer
3703801 Other NCPDP PROVIDER IDENTIFICATION NUMBER
100232160A Medicaid OK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Boulevard Pharmacy Inc?
NPPES lists Jacey Cole (Owner) as the authorized official for this organization.
What is the NPI number for Boulevard Pharmacy Inc?
The NPI for Boulevard Pharmacy Inc is 1477638567, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-08.