Nixa Bose

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

I072709 Issued in NY

Practice address

8147 259TH St
Glen Oaks, NY 11004-1447

Phone

(516) 474-3818

NPI assigned

Oct 3, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1134093917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8147 259TH ST",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041447",
            "telephone_number": "516-474-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8147 259TH ST",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041447",
            "telephone_number": "516-474-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSE",
        "first_name": "NIXA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-03",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "I072709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Marver Bonilla, PH.D.
• Lauren Susan Bonilla, DO
• Antoni Bonner, MD
• Boro Medical, P.C.
• Binu Bose
• Denise Catherine Boudiette, MD
• Brittany Shea Bourbia, LCSW
• Giuseppa Brachfeld, LCSW
• Raphael J Braga, MD
• Laura L Braider, PHD

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Glen Oaks, NY
• Providers in Glen Oaks, NY by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.