Blooming Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00764600 Issued in NJ

Legal business name

BLOOMING PHARMACY LLC

Practice address

102 Broadway
Paterson, NJ 07505-1107

Phone

(973) 742-0054

Fax

(973) 742-0074

NPI assigned

Jun 4, 2018

Organization subpart

No

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

Authorized official

Name

Hany MikhailNPI 1801308028

Title

Pharmacist in Charge

Phone

(973) 742-0054

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hany A Mikhail

  • Pharmacist
  • Wayne, NJ
  • NPI 1801308028
  NPD Authorized official

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1093207292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051107",
            "telephone_number": "973-742-0054",
            "fax_number": "973-742-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051107",
            "telephone_number": "973-742-0054",
            "fax_number": "973-742-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMING PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "MIKHAIL",
        "authorized_official_first_name": "HANY",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "973-742-0054"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00764600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2177997",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sylvia F Blaustein, CNM
• Patricia Sara Blazon, PA
• Michael Blechner, MD
• David Paul Bleeker, MD
• Myron I Bloch, O. D.
• Blue River Women'S Health PA
• Blue Star Urgent Care
• Monica Anne Mary Domantay Bobila, MD
• Kishanrao Bogavelli, MD
• Maged Boghdady, M.D.

• Community/Retail Pharmacy in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.