Organization Active NPI

Bga Pharma Supply LLC

  • Specialty Pharmacy
  • Bohemia, NY
National Provider Identifier
1679926075
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
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

Updated by the provider on Jul 20, 2016

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.