Bayonne Pharmacy Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BAYONNE PHARMACY INC

Practice address

455 Broadway
Bayonne, NJ 07002-7112

Phone

(201) 339-1992

Fax

(201) 858-1714

NPI assigned

Sep 13, 2017

Organization subpart

No

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

Authorized official

Name

Michael Louis Bologh

Title

President

Phone

(201) 304-1854

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Bayonne Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jerry'S Drug & Surgical

  • Community/Retail Pharmacy
  • Bayonne, NJ
  • NPI 1437573052
  NPD tax ID

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508385337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070027112",
            "telephone_number": "201-339-1992",
            "fax_number": "201-858-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070027112",
            "telephone_number": "201-339-1992",
            "fax_number": "201-858-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYONNE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOLOGH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-304-1854"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7195613",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bayonne Ortho Fitting LLC
• Bayonne Pain Management Center, LLC
• Bayonne Pediatric Practice
• Bayonne Pediatric Therapy Center LLC
• Bayonne Pharmacy Group LLC
• Bayonne Pharmacy Inc
• Bayonne Podiatry Group
• Bayonne Radonc Associates, LLC
• Bayonne Renal Center, LLC
• Bayonne RX Apothecary Inc

• Durable Medical Equipment & Medical Supplies in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.