Individual provider Active NPI

James Michael Bonifant, PHARMD

  • Pharmacist
  • Catonsville, MD
National Provider Identifier
1902408396
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26633 Issued in MD
Practice address
6223 Baltimore National Pike
Catonsville, MD 21228-2910
Phone
(410) 788-6220
NPI assigned
Nov 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
26633MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Giant of Maryland LLC PastSince Nov 15, 2020 Accepting new patients
Giant of Maryland LLC PastSince Nov 15, 2020 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.