Active NPI
Bonnie Lee
- Pharmacist
- Bronx, NY
National Provider Identifier
1194072025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 057004
- Practice address
- 941 Southern Blvd
Bronx, NY 10459-3401 - Phone
- (718) 328-3220
- NPI assigned
- Aug 9, 2012
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 057004 | NY | Primary |
Addresses
Primary practice location
941 Southern Blvd
Bronx, NY 10459-3401
Mailing address
10716 Muriel CT
Ozone Park, NY 11417-2623
Phone (347) 247-4543
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 |
|---|---|---|---|
| 057004 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354579200000",
"number": "1194072025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10716 MURIEL CT",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "114172623",
"telephone_number": "347-247-4543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "941 SOUTHERN BLVD",
"city": "BRONX",
"state": "NY",
"postal_code": "104593401",
"telephone_number": "718-328-3220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "BONNIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-09",
"last_updated": "2012-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "057004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.