Holly Bakhoury
Individual provider Active NPI Pharmacist · Sayreville, NJ
NPI 1215339643 · NPPES record last updated Sep 17, 2014
Key facts
- NPI
- 1215339643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 052771 (NY)
- Practice address
- 53 Winding Wood Dr Apt 4a
Sayreville, NJ 08872-2014 - Phone
- (732) 307-2231
- NPI assigned
- Sep 17, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052771 | NY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 052771 | NY | Yes |
Addresses
Primary practice location
53 Winding Wood Dr Apt 4a
Sayreville, NJ 08872-2014
Mailing address
53 Winding Wood Dr Apt 4a
Sayreville, NJ 08872-2014
Phone (732) 307-2231
Other providers in Sayreville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2014. 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.