Penelope B Bolger, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH 31247 Issued in CA

Practice address

401 Bicentennial Way
Infusion Pharmacy
Santa Rosa, CA 95403-2149

Phone

(707) 571-3003

NPI assigned

Apr 17, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043436439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 6TH ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523035",
            "telephone_number": "707-769-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BICENTENNIAL WAY",
            "address_2": "INFUSION PHARMACY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032149",
            "telephone_number": "707-571-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLGER",
        "first_name": "PENELOPE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH 31247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ann Bohnker, MA MFT
• Dianne Bohr, LMT
• Earl Boisclair
• Amanda Anne Boivin
• Ginger Dawn Bolanos-Santillan
• Amanda Weltman Bolling, MFT
• Kelly Elizabeth Bollman, MA, BS
• Morella E Bombardini, PSY.D.
• Marcus J Bond
• Dayle Juliano Bondarev, MD

• Pharmacist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.