Eileen S Bontorno

Primary specialty

PharmacistTaxonomy code 183500000X

License

030593 Issued in NY

Practice address

210 N Franklin St
Watkins Glen, NY 14891-1224

Phone

(607) 535-4999

Fax

(518) 463-4514

NPI assigned

May 14, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Eileen S Rossway Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Henderson Drug 10, Inc

  • Pharmacy
  • Watkins Glen, NY
  • NPI 1114169851
  NPD (past)

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273795200000",
    "number": "1245558287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N FRANKLIN ST",
            "address_2": "PO BOX 696",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "148911224",
            "telephone_number": "607-535-4999",
            "fax_number": "518-463-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N FRANKLIN ST",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "148911224",
            "telephone_number": "607-535-4999",
            "fax_number": "518-463-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONTORNO",
        "first_name": "EILEEN",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-14",
        "last_updated": "2010-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "030593",
            "primary": true
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NY",
            "license": "030593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "ROSSWAY",
            "middle_name": "S",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cassondra Besemer, LMSW
• Barbara L Besley, RPN
• Brian Eugene Bleiler, OD
• Tyler John Bogardus
• Rebecca Bonsignore, LMSW
• Peggy L Bright-Berhannan, LCSW-R
• Anna Brown, LMSW
• Terin Brown, OTR/L
• Alyssa Kay Bubniak, PHARMD
• Buffalo Wheelchair, Inc.

• Pharmacist in Watkins Glen, NY
• Providers in Watkins Glen, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.