Boling Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

030329 Issued in NY

Legal business name

BOLING PHARMACY INC

Practice address

133-37 41St Rd
Flushing, NY 11355

Phone

(718) 321-9876

Fax

(718) 513-2047

NPI assigned

Nov 22, 2010

Last updated

Aug 7, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tristan Liu

Title

President

Phone

(718) 321-9876

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY3 enrollments

Enrollment records 3

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Connie Chan

  • Pharmacist
  • Flushing, NY
  • NPI 1174085849
  NPD (past)
• Yujie Chen

  • Pharmacist
  • Flushing, NY
  • NPI 1922573195
  NPD (past)

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1316249519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13337 41ST RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553659",
            "telephone_number": "718-321-9876",
            "fax_number": "718-513-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133-37 41ST RD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11355",
            "telephone_number": "718-321-9876",
            "fax_number": "718-513-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLING PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "TRISTAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-321-9876"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "030329",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boe
• Rachel Bohnen, DDS
• Chanah Boiangiu
• Sze Wan Bok, AUD
• Bokyung Kim LCSW, PLLC (Rooted with Bokyung LCSW, PLLC)
• Chantelle Bombardier
• Si M Bong
• Wai Loon Bong, PA
• Cassandra Bonilla
• Alexis Bonner, FNP-BC

• Community/Retail Pharmacy in Flushing, NY
• Providers in Flushing, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.