Active NPI
Barbara Bonk
- Pharmacist
- Odessa, DE
National Provider Identifier
1396043717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- A1-0001672
- Practice address
- 161 Taylors Bridge Rd
Odessa, DE 19730-0639 - Phone
- (302) 750-0825
- Fax
- (302) 378-4187
- NPI assigned
- Mar 9, 2011
- Last updated
- Mar 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | A1-0001672 | DE | Primary |
Addresses
Primary practice location
161 Taylors Bridge Rd
Odessa, DE 19730-0639
Mailing address
P.O. Box 639
161 Taylors Bridge Rd
Odessa, DE 19730-0639
Phone (302) 750-0825
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 |
|---|---|---|---|
| A1-0001672 | DE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1396043717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 639",
"address_2": "161 TAYLORS BRIDGE RD",
"city": "ODESSA",
"state": "DE",
"postal_code": "197300639",
"telephone_number": "302-750-0825",
"fax_number": "302-378-4187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 TAYLORS BRIDGE RD",
"city": "ODESSA",
"state": "DE",
"postal_code": "197300639",
"telephone_number": "302-750-0825",
"fax_number": "302-378-4187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONK",
"first_name": "BARBARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-09",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0001672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.