Karin Bonanno

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

050109178239048 Issued in FL

Practice address

433 S Highway 29
Cantonment, FL 32533-1401

Phone

(850) 698-9992

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cantonment Pharmacy Inc

  • Pharmacy
  • Cantonment, FL
  • NPI 1568505089
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861516296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 W PARK LN",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325331231",
            "telephone_number": "850-968-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 S HIGHWAY 29",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325331401",
            "telephone_number": "850-698-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONANNO",
        "first_name": "KARIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "FL",
            "license": "050109178239048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Blalock
• Jayson Gregory Maness Bledsoe, RBT
• Lynette Yvonne Bledsoe, LCSW
• Tonya Bloxson
• Brandy Bohlman
• Haley Bonner, M.S., CFY-SLP
• Samantha Rae Booker
• Riley Bouck
• Horace David Brannon, MD
• Kenithia Z Brewington

• All providers in Cantonment, FL
• Pharmacy Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.