Organization Active NPI

Bobo Pharmacy Inc

  • Community/Retail Pharmacy
  • Brooklyn, NY
National Provider Identifier
1760808372
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
032651 Issued in NY
Legal business name
BOBO PHARMACY INC
Practice address
6903 18TH Ave
Brooklyn, NY 11204-5076
Phone
(718) 759-6308
Fax
(718) 759-6309
NPI assigned
Mar 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Linjue HuaNPI 1487986568
Title
President
Phone
(718) 759-6308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 032651 NY Primary

Addresses

Primary practice location

6903 18TH Ave
Brooklyn, NY 11204-5076

Mailing address

6903 18TH Ave
Brooklyn, NY 11204-5076
Phone (718) 759-6308

Other identifiers 2

IdentifierTypeStateIssuer
2144804OtherPK
03850979MedicaidNY

Other names 1

  • BOBO Pharmacy Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140513000164 NY DME Supplier - Pharmacy 6800029166 Practice locations: Brooklyn, NY
O20140814000240 NY Part B Supplier - Mass Immunization (Roster Biller Only) 6800029166 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Bobo Pharmacy Inc6903 18TH Avenue, Brooklyn, NY 11204(718) 759-6308 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Orthoses: Off-Th… Accepts assignmentParticipating since Aug 15, 2014

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1760808372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6903 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045076",
            "telephone_number": "718-759-6308",
            "fax_number": "718-759-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6903 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045076",
            "telephone_number": "718-759-6308",
            "fax_number": "718-759-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBO PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "HUA",
        "authorized_official_first_name": "LINJUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-759-6308"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "032651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144804",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03850979",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOBO Pharmacy Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.