Christina Yosry Boulus

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI03982600 Issued in NJ

Practice address

1041 Pompton Ave
Cedar Grove, NJ 07009-1155

Phone

(973) 237-4061

NPI assigned

Nov 30, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1427652445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 POMPTON AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091155",
            "telephone_number": "973-247-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 POMPTON AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091155",
            "telephone_number": "973-237-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULUS",
        "first_name": "CHRISTINA",
        "middle_name": "YOSRY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03982600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica L. Blum, PT
• Sahana Boddapati
• John M Bomhoff, DC
• Jessica Bond, MA, LPC, SAC, ACS
• Lawrence V Boscaino, PTA
• Kathryn Wiker Bradley, MA CCC-SLP
• Sheryl Brager
• Linda Bruno, P.T.A.
• Marco Michael Bruno, D.C.
• Andrea Lisbeth Buccino, D.C.

• Pharmacist in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.