Bonhamtown Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

BONHAMTOWN PHARMACY LLC

Practice address

2853 Woodbridge Ave
Suite 8
Edison, NJ 08837

Phone

(732) 605-4307

Fax

(732) 605-4308

NPI assigned

Oct 12, 2020

Last updated

Oct 12, 2020By 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

Ankur ShahNPI 1871184960

Title

Operating Partner

Phone

(908) 494-3916

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

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.

• Ankur Shah

  • Pharmacist
  • Edison, NJ
  • NPI 1871184960
  NPD Authorized official

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1730787938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2853 WOODBRIDGE AVE",
            "address_2": "SUITE 8",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08837",
            "telephone_number": "732-605-4307",
            "fax_number": "732-605-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2853 WOODBRIDGE AVE",
            "address_2": "SUITE 8",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08837",
            "telephone_number": "732-605-4307",
            "fax_number": "732-605-4308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONHAMTOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ANKUR",
        "authorized_official_title_or_position": "OPERATING PARTNER",
        "authorized_official_telephone_number": "908-494-3916"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swapna Bollera, OT
• Velicia Bollers, MD
• Aamir F Bolwala, NP
• Dylan Bonanno, DDS
• Leena Bondili, MD
• Lindsey Bonisisio, FNP-C
• Sheree Boone, LCSW
• Kurt Michael Bopp, MSW, LCSW
• Debra Borg, RN
• Rachael Olayemi Borishade, PMHNP

• Community/Retail Pharmacy in Edison, NJ
• Providers in Edison, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.