Bolluk Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BOLLUK PHARMACY CORP

Practice address

7120 Stirling Rd
Hollywood, FL 33024-1650

Phone

(754) 703-4944

Fax

(754) 703-4943

NPI assigned

Aug 11, 2015

Last updated

Aug 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Rosio Gonzalez, RPTNPI 1093303356

Title

President

Phone

(305) 902-8242

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rosio Gonzalez, APRN

  • Family Nurse Practitioner
  • Pahrump, NV
  • NPI 1093303356
  NPD (past) Authorized official

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1700252939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 STIRLING RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330241650",
            "telephone_number": "754-703-4944",
            "fax_number": "754-703-4943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 STIRLING RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330241650",
            "telephone_number": "754-703-4944",
            "fax_number": "754-703-4943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLLUK PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ROSIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-902-8242",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Body of Light Wellness Center (Light Chiropractic Care)
• Brian Alan Boe, M.D.
• Elzen Florencia Bolado, PMHNP-BC
• Engelberto J Bolanos, HAS
• Alfredo Bolasini, MD
• Zulema Bond, MSW
• Elizabeth Gorham Bonet, PHD
• Neil Steven Bonnardel, D.C.
• Dennis H Bonneau, DC
• Sara Levana Bonwitt

• Community/Retail Pharmacy in Hollywood, FL
• Providers in Hollywood, 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 Aug 11, 2015; 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.