Active NPI
James Michael Bonifant, PHARMD
- Pharmacist
- Catonsville, MD
National Provider Identifier
1902408396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26633
- Practice address
- 6223 Baltimore National Pike
Catonsville, MD 21228-2910 - Phone
- (410) 788-6220
- NPI assigned
- Nov 11, 2020
- Last updated
- Nov 11, 2020
- 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 | 26633 | MD | Primary |
Addresses
Primary practice location
6223 Baltimore National Pike
Catonsville, MD 21228-2910
Mailing address
14524 Pebblestone Dr
Silver Spring, MD 20905-5972
Phone (301) 661-9601
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 |
|---|---|---|---|
| 26633 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giant of Maryland LLC | Past | Accepting new patients | |
| Giant of Maryland LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1902408396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14524 PEBBLESTONE DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209055972",
"telephone_number": "301-661-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6223 BALTIMORE NATIONAL PIKE",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212282910",
"telephone_number": "410-788-6220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONIFANT",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-11",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "26633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.