Richard Boulware, P.A.
NPI 1124144043ActiveIndividual· Physician Assistant, Medical· Charlotte, NC
Physician Assistant, Medical (P.A.) in Charlotte, North Carolina, licensed in SC and NC, with an NPI issued in March 2007. Part D covered 99 prescriptions written in 2024, 88% of them generic.
Overview
| NPI | 1124144043 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | P.A. |
| Sole proprietor | No |
| NPI issued | Mar 22, 2007 |
| Last updated in NPPES | Oct 9, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 786 | SC |
| Physician Assistant | 363A00000X | 0010-01817 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 99 · 171 30-day fills |
|---|---|
| Patients | 20 |
| Total drug cost | $3,899 |
| Generic share | 88% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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