Individual provider · NPI-1

Troy David Boughner, PharmD

Pharmacist · Costa Mesa, CA

NPI number1881498491
StatusActive
Last updated in NPPESMay 24, 2026

Details

NPI
1881498491
Entity type
Individual (NPI-1)
Name
Troy David Boughner
Credential
PharmD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 2, 2025
Certification date
May 24, 2026
Last updated
May 24, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist90782CAYes
183500000X Pharmacist0202220648VA

Practice location

380 E 17th St
Costa Mesa, CA 92627-3252

Phone 949-645-1277

Mailing address

380 E 17th St
Costa Mesa, CA 92627-3252

Phone 949-645-1277

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pharmacist providers in Costa Mesa, CA