Bonita Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY21603 Issued in CA

Legal business name

BONITA PHARMACY INC

Practice address

4190 Bonita Rd
Ste 101
Bonita, CA 91902-1329

Phone

(619) 475-4112

Fax

(619) 475-4113

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Frank Yep, RPH

Title

Owner/Pharmacist in CHRG

Phone

(619) 475-4112

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BONITA PHARMACY Doing business as

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1730286576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 BONITA RD",
            "address_2": "STE 101",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021329",
            "telephone_number": "619-475-4112",
            "fax_number": "619-475-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 BONITA RD",
            "address_2": "STE 101",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021329",
            "telephone_number": "619-475-4112",
            "fax_number": "619-475-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONITA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "YEP",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHRG",
        "authorized_official_telephone_number": "619-475-4112",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY21603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0529428",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA216030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BONITA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Bonita Drive Thru Pharmacy
• Bonita Guest Home LLC
• Bonita Medical Supply, Inc.
• Bonita Pharmacy
• Bonita Point Family Optometry, Inc.
• Lauren Elise Branham
• Christine Buenaventura, DDS
• Fabriel D Burquez, DDS
• Beverly Calderon, RDN

• Community/Retail Pharmacy in Bonita, CA
• Providers in Bonita, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.