Remon Y Bishara, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI0378000 Issued in NJ

Practice address

Broadway Health Pharmacy
974 Broadway
Bayonne, NJ 07002

Phone

(201) 471-2400

Fax

(201) 471-2411

NPI assigned

Jul 23, 2021

Last updated

Jul 23, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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.

• Healthy Life Pharmacy Corp

  dba Bayonne Pharmacy

  • Community/Retail Pharmacy
  • Bayonne, NJ
  • NPI 1255475711
  NPD
• Broadway RX Inc

  dba Broadway Health Pharmacy

  • Community/Retail Pharmacy
  • Bayonne, NJ
  • NPI 1275061178
  NPD (past)

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1902479207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023520",
            "telephone_number": "201-356-7752",
            "fax_number": "201-471-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BROADWAY HEALTH PHARMACY",
            "address_2": "974 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "07002",
            "telephone_number": "201-471-2400",
            "fax_number": "201-471-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHARA",
        "first_name": "REMON",
        "middle_name": "Y",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI0378000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aditya Paul Singh Bhalla
• Jigish J Bhavsar, PHARMD
• Daphne Bienkiewicz
• Julia Bilotta
• Mary Bishara, PT, DPT
• Shanelle Bispham
• Ellen M Black, M.D.
• Desiree Blunt
• BMC Anesthesia Physicians LLC
• Maria Boberick, BA

• Pharmacist in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.