Active NPI
Kristine Bonanza Horan, R.PH.
- Pharmacist
- Rochester, NY
National Provider Identifier
1083936306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 040310
- Practice address
- 1425 Portland Ave
Apothecary
Rochester, NY 14621-3001 - Phone
- (585) 922-3399
- Fax
- (585) 922-3568
- NPI assigned
- Mar 1, 2010
- Last updated
- Mar 1, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 040310 | NY | Primary |
Addresses
Primary practice location
1425 Portland Ave
Apothecary
Rochester, NY 14621-3001
Mailing address
1530 Chigwell LN S
Webster, NY 14580-8551
Phone (585) 265-0508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1083936306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 CHIGWELL LN S",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145808551",
"telephone_number": "585-265-0508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 PORTLAND AVE",
"address_2": "APOTHECARY",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213001",
"telephone_number": "585-922-3399",
"fax_number": "585-922-3568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONANZA HORAN",
"first_name": "KRISTINE",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-01",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "040310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.