Victor Herbert Bonin, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

017908-1 Issued in NY

Practice address

430 S Main St
N Syracuse, NY 13212-2844

Phone

(315) 458-1231

Fax

(315) 458-8558

NPI assigned

Mar 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Suburban Health Services Inc

  dba Suburban Health Service Phcy

  • Specialty Pharmacy
  • North Syracuse, NY
  • NPI 1639260839
  NPD (past)

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881728657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 S MAIN ST",
            "city": "N SYRACUSE",
            "state": "NY",
            "postal_code": "132122844",
            "telephone_number": "315-458-1231",
            "fax_number": "315-458-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S MAIN ST",
            "city": "N SYRACUSE",
            "state": "NY",
            "postal_code": "132122844",
            "telephone_number": "315-458-1231",
            "fax_number": "315-458-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONIN",
        "first_name": "VICTOR",
        "middle_name": "HERBERT",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "017908-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "012248",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00559586",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Arndt, DPM
• Aspen Dental of Central New York
• Atwal Sleep & Wellness LLC
• Robert R Battaglia, RPH
• Halina Bierciewska, DDS
• Branches of Growth, LLC
• Colleen Costello
• Christina C Coughlin, PA
• Karrie D Damm Stewart, MFT
• Delconte Counseling LCSW PC

• Pharmacist in N Syracuse, NY
• Providers in N Syracuse, NY by specialty
• Pharmacist in New York

• 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.