Engy Boulos, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

I065581-01 Issued in NY

Practice address

217 Main St
Staten Island, NY 10307-1228

Phone

(347) 459-0183

NPI assigned

Dec 13, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St Mary & Pope Kyrillos Corporation

  dba Good life pharmacy

  • Community/Retail Pharmacy
  • Staten Island, NY
  • NPI 1023836046
  NPD

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

{
    "created_epoch": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1639684632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5638 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093102",
            "telephone_number": "347-459-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MAIN ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103071228",
            "telephone_number": "347-459-0183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOULOS",
        "first_name": "ENGY",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI03910700",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "I065581-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elie Bou Sanayeh, M.D.
• Victoria Boucard, OTR/L
• Lisa Boule', CPNP
• Micheline Boulis
• Catherine Boulos, DDS
• Dominique Bourgelais, FNP-BC
• Sarah Bourgin, DO
• Bourne Intelligent
• Nailah Femi Bourne
• Hany Boutros, RPH

• Pharmacist in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.