Bonanza State Pharmacy and Discount Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH23397 Issued in FL

Legal business name

BONANZA STATE PHARMACY AND DISCOUNT CORP

Doing business as

REDLAND PHARMACY DISCOUNT

Practice address

19752 SW 177TH Ave
Miami, FL 33187-2600

Phone

(305) 378-6116

Fax

(305) 378-4435

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Johnny Raymond

Title

President

Phone

(305) 378-6116

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• REDLAND PHARMACY DISCOUNT Doing business as

Locations

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1649438623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19752 SW 177TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331872600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19752 SW 177TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331872600",
            "telephone_number": "305-378-6116",
            "fax_number": "305-378-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONANZA STATE PHARMACY AND DISCOUNT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-378-6116"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH23397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1035408",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REDLAND PHARMACY DISCOUNT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johanna Carolina Bona, APRN
• Reinier Gustavo Bonachea
• Richard Bonachea, APRN
• Laura Bonafe
• Stephanie Bonafoux
• Lauren Ashley Bonaventure
• Roseanna Bonaventure
• Bonavita Group Home
• Bonaya Solutions,Inc
• Yelena Victorovna Bondar, ARNP-BC

• Community/Retail Pharmacy in Miami, FL
• Providers in Miami, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.