Active NPI
Antoine Bondima, PHARMD
- Pharmacist
- Crownpoint, NM
National Provider Identifier
1851608103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP00007467
- Practice address
- Highway Junction 371 and Route 9
Crownpoint Healthcare Facility
Crownpoint, NM 87313 - Phone
- (505) 786-6344
- Fax
- (505) 786-2526
- NPI assigned
- Sep 8, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP00007467 | NM | Primary |
Addresses
Primary practice location
Highway Junction 371 and Route 9
Crownpoint Healthcare Facility
Crownpoint, NM 87313
Mailing address
PO Box 58
Crownpoint, NM 87313-0058
Phone (267) 745-8589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP00007467 | NM | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1851608103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 58",
"city": "CROWNPOINT",
"state": "NM",
"postal_code": "873130058",
"telephone_number": "267-745-8589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HIGHWAY JUNCTION 371 AND ROUTE 9",
"address_2": "CROWNPOINT HEALTHCARE FACILITY",
"city": "CROWNPOINT",
"state": "NM",
"postal_code": "87313",
"telephone_number": "505-786-6344",
"fax_number": "505-786-2526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONDIMA",
"first_name": "ANTOINE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-08",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NM",
"license": "RP00007467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crownpoint, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.