Active NPI
Marianne Bomnin, PHARMD
- Pharmacist
- Miami, FL
National Provider Identifier
1942830369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS60227
- Practice address
- 6627 S Dixie Hwy
Miami, FL 33143-7919 - Phone
- (305) 665-4411
- NPI assigned
- Jan 24, 2020
- Last updated
- Jan 24, 2020
- Sex
- Female
- 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 | PS60227 | FL | Primary |
Addresses
Primary practice location
6627 S Dixie Hwy
Miami, FL 33143-7919
Mailing address
9850 SW 111TH Ter
Miami, FL 33176-2873
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 |
|---|---|---|---|
| PS60227 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marco Discount Drugs Inc | Past | Accepting new patients | |
| 1492 Pharma Group Corp | 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": "1579824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1942830369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9850 SW 111TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6627 S DIXIE HWY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331437919",
"telephone_number": "305-665-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOMNIN",
"first_name": "MARIANNE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-24",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS60227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.