Active NPI
Bonnie Celeste Crea
- Pharmacy Technician
- Staten Island, NY
National Provider Identifier
1124157060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 030109089183903
- Practice address
- 1988 Hylan Blvd
Staten Island, NY 10306-3526 - Phone
- (718) 667-4300
- Fax
- (718) 980-2636
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 030109089183903 | NY | Primary |
Addresses
Primary practice location
1988 Hylan Blvd
Staten Island, NY 10306-3526
Mailing address
159 Great Kills Rd
Staten Island, NY 10308-2938
Phone (718) 667-4300
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030109089183903 | NY | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hylan Medicine Cabinet Inc | Past | Accepting new patients | |
| Hylan Medicine Cabinet Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Staten Island, NY
- NPI 1780495309
-
- Community/Retail Pharmacy
- Staten Island, NY
- NPI 1780607150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124157060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 GREAT KILLS RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103082938",
"telephone_number": "718-667-4300",
"fax_number": "718-980-2636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1988 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103063526",
"telephone_number": "718-667-4300",
"fax_number": "718-980-2636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREA",
"first_name": "BONNIE",
"middle_name": "CELESTE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NY",
"license": "030109089183903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- 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.