Active NPI
Bga Pharma Supply LLC
- Specialty Pharmacy
- Bohemia, NY
National Provider Identifier
1679926075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialty Pharmacy
- Legal business name
- BGA PHARMA SUPPLY LLC
- Practice address
- 116 Wilbur PL
Bohemia, NY 11716-2402 - Phone
- (631) 750-4700
- NPI assigned
- Jul 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Maria Bonlarron
- Title
- Member
- Phone
- (631) 750-4700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialty Pharmacy | 3336S0011X | Primary |
Addresses
Primary practice location
116 Wilbur PL
Bohemia, NY 11716-2402
Mailing address
116 Wilbur PL
Bohemia, NY 11716-2402
Phone (631) 750-4700
National Provider Directory
National Provider DirectoryLocations
116 Wilbur Pl
Bohemia, NY 11716
Phone (631) 750-4700
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Long Beach, NY
- NPI 1356514061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468972800000",
"number": "1679926075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 WILBUR PL",
"city": "BOHEMIA",
"state": "NY",
"postal_code": "117162402",
"telephone_number": "631-750-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 WILBUR PL",
"city": "BOHEMIA",
"state": "NY",
"postal_code": "117162402",
"telephone_number": "631-750-4700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BGA PHARMA SUPPLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-20",
"last_updated": "2016-07-20",
"status": "A",
"authorized_official_last_name": "BONLARRON",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "16317504700",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bohemia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.