Eric Bonaguidi

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

S011810 Issued in AZ

Practice address

3605 E Thomas Rd
Phoenix, AZ 85018-7505

Phone

(602) 275-7507

NPI assigned

Jul 26, 2024

Last updated

Jul 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1740019066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187505",
            "telephone_number": "602-275-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONAGUIDI",
        "first_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "AZ",
            "license": "S011810",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "S011810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Bolyard, MNS CCC-SLP
• Paul Amadeo Bombino, M.D.
• Faye Louis Bomer, MD
• Carl Albert Bonacci, PH.D.
• Alec Michael Bonaguidi, RD
• Joseph Bonanno, MD
• Daniel Mark Bonaroti, PT
• Heidi P Bonaroti, OT
• Brittlyn Joy Bonas, PT, DPT
• Bond LLC

• Community/Retail Pharmacy in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.