Anthony Bonofiglio, PHARM.D.
Individual provider Active NPI Pharmacist · Simpsonville, SC
NPI 1144620071 · NPPES record last updated Sep 3, 2024
Key facts
- NPI
- 1144620071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 35629 (SC)
- Practice address
- 107 Chase Woods CT
Simpsonville, SC 29680-3600 - Phone
- (864) 420-9917
- NPI assigned
- Aug 28, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227359 | AK | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 227359 | AK | |
| Pharmacist | 183500000X | 35629 | SC | Yes |
Addresses
Primary practice location
107 Chase Woods CT
Simpsonville, SC 29680-3600
Mailing address
107 Chase Woods CT
Simpsonville, SC 29680-3600
Other providers in Simpsonville, SC
- Bodhi Psychotherapy and Consulting, LLC
- Cynthia Bodway
- Regina Ann Boger
- Bon Secours Medical Group Greenville Specialty Care LLC
- Anthony Bondanza
- Clayton Boothe
- Connie Beth Boothe
- Sara H Bopp
- Jessica Boseman
- Edwin Heathman Bost IV
All providers in Simpsonville, SC · Pharmacist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.