Joy Bohlke, RPH
Individual provider Active NPI Pharmacist · Santa Rosa, CA
NPI 1063564409 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1063564409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH-42002 (CA)
- Practice address
- 401 Bicentennial Way
Santa Rosa, CA 95403 - Phone
- (707) 571-4700
- Fax
- (707) 571-4701
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-42002 | CA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-42002 | CA | Yes |
Addresses
Primary practice location
401 Bicentennial Way
Santa Rosa, CA 95403
Mailing address
P. O. Box 1091
Kenwood, CA 95452
Phone (707) 571-4700
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.