Individual provider Active NPI

Scott W Bonhus, R.PH.

  • Pharmacist
  • Mesa, AZ
National Provider Identifier
1114339892
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S014541 Issued in AZ
Practice address
11446 E Sebring Ave
Mesa, AZ 85212-7121
Phone
(480) 656-7218
NPI assigned
May 29, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S014541 AZ Primary

Addresses

Primary practice location

11446 E Sebring Ave
Mesa, AZ 85212-7121

Mailing address

11446 E Sebring Ave
Mesa, AZ 85212-7121
Phone (480) 656-7218

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

State licenses

LicenseStateTypeSpecialty
S014541AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1114339892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11446 E SEBRING AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852127121",
            "telephone_number": "480-656-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11446 E SEBRING AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852127121",
            "telephone_number": "480-656-7218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONHUS",
        "first_name": "SCOTT",
        "middle_name": "W",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S014541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.