Buonadonna'S Shoprite LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

029911 Issued in NY

Legal business name

BUONADONNA'S SHOPRITE LLC

Practice address

50-110 Route 108
West Babylon, NY 11704

Phone

(631) 587-3150

Fax

(631) 587-3128

NPI assigned

Aug 20, 2006

Organization subpart

No

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

Authorized official

Name

Melissa Buonadonna

Title

President

Phone

(631) 666-7737

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Buonadonna Shoprite LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Buonadonna Shoprite LLC

  • Community/Retail Pharmacy
  • Bay Shore, NY
  • NPI 1871608653

  O20130219000213

  Same enrollment

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Bilello, RPH

  • Pharmacist
  • Kingston, NY
  • NPI 1164690624
  NPD (past)
• Elaine F Franzitta

  • Pharmacist
  • West Babylon, NY
  • NPI 1568623692
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520812800000",
    "number": "1598870370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 RT 109",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "11704",
            "telephone_number": "631-587-2943",
            "fax_number": "631-587-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50-110 ROUTE 108",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "11704",
            "telephone_number": "631-587-3150",
            "fax_number": "631-587-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUONADONNA'S SHOPRITE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2018-03-12",
        "status": "A",
        "authorized_official_last_name": "BUONADONNA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-666-7737"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "029911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2064645",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02721002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buonadonna Shoprite LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cora Brown, CASAC-T
• Lavandra Brown, LPN
• Rochelle Brown, PA-C
• John J Buck, RPH
• Kathleen Mary Bullock, RN
• Dawn Heather Buratynski, CMHC-LP, MA
• Bustamonte Residence
• Alessandra Buttini, M.ED L.AC
• Jessica Marie Byers, LPN
• Tina L Calabrese, LCSW

• Community/Retail Pharmacy in West Babylon, NY
• Providers in West Babylon, 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 Mar 12, 2018; 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.