Organization Active NPI

Bonaparte Pharmacy, LLC

  • Community/Retail Pharmacy
  • Harrisville, NY
National Provider Identifier
1811327646
Registry record updated Jun 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BONAPARTE PHARMACY, LLC
Practice address
8210 Main St.
Harrisville, NY 13648
Phone
(315) 537-5032
Fax
(315) 537-5033
NPI assigned
Nov 14, 2013
Last updated
Jun 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2014

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

Authorized official

Name
Justin Michael BesawNPI 1538341292
Title
President
Phone
(315) 528-6659

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

8210 Main St.
Harrisville, NY 13648

Mailing address

PO Box 218
Harrisville, NY 13648-0218
Phone (315) 537-5032

Other identifiers 2

IdentifierTypeStateIssuer
03822680MedicaidNY
032170OtherNYSTATE LICENSE

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140320001159 NY Part B Supplier - Mass Immunization (Roster Biller Only) 4789815515 Practice locations: Harrisville, NY
O20140606000177 NY DME Supplier - Pharmacy 4789815515 Practice locations: Harrisville, 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
Bonaparte Pharmacy, LLC8210 Main Street, Harrisville, NY 13648-0218(315) 537-5032 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Walkers|Ostomy Supplies|Enteral Nutrients|Nebulizer Equipment and/or Supplies|Surgic… Accepts assignmentParticipating since Jul 15, 2024

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402704000000",
    "number": "1811327646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "city": "HARRISVILLE",
            "state": "NY",
            "postal_code": "136480218",
            "telephone_number": "315-537-5032",
            "fax_number": "315-537-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 MAIN ST.",
            "city": "HARRISVILLE",
            "state": "NY",
            "postal_code": "13648",
            "telephone_number": "315-537-5032",
            "fax_number": "315-537-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONAPARTE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2014-06-14",
        "status": "A",
        "authorized_official_last_name": "BESAW",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-528-6659"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03822680",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "032170",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2014; 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.