Jamie L Bonafine

Primary specialty

PharmacistTaxonomy code 183500000X

License

PCT.9979 Issued in CT

Practice address

420 Buckland Hills Dr
Manchester, CT 06042-8755

Phone

(860) 644-5105

Fax

(860) 644-4164

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jamie L Pabilonia Other name

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598827156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 COUGAR DR",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406383",
            "telephone_number": "860-432-2757",
            "fax_number": "860-644-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 BUCKLAND HILLS DR",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060428755",
            "telephone_number": "860-644-5105",
            "fax_number": "860-644-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAFINE",
        "first_name": "JAMIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "PCT.9979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "PABILONIA",
            "middle_name": "L",
            "credential": "PHARMD.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christina Marie Bolduc Falzone, APRN FNP-C
• Natasha Bolorin
• Aimee Bombara, OTR/L
• Tim Bombard
• Reva Bommer
• Steven Bonanno, PSY.D.
• Michael Robert Bond, D.M.D.
• Brian Bonds
• Edward Bonk
• Colleen Booth, PA-C

• Pharmacist in Manchester, CT
• Providers in Manchester, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.