NICHOLAS BONANNI (NPI# 1093315731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093315731 |
| Entity Type | Individual |
| Full Name | NICHOLAS BONANNI |
| Practice Address |
5370 Allentown Pike Temple PA 19560-1200 |
| Practice Telephone | 6109390616 |
| Practice Fax Number | 6109390614 |
| Mailing Telephone | 6109390616 |
| Mailing Fax Number | 6109390614 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP026421L | PA | Pharmacy Service Providers |
| Street Address |
5370 ALLENTOWN PIKE |
| City | TEMPLE |
| State | PA |
| Zip Code | 19560-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528021284 | Richard P Christoph | Optometrist | 5370 Allentown Pike, Inside Wal-mart Vision Ctr., Temple, PA 19560-1200 | 2006-04-11 |
| 1083215818 | Nayela Mohiuddin | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2020-11-06 |
| 1508467861 | Diane Luu | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2020-11-03 |
| 1386244630 | Karna Jani | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2020-10-27 |
| 1356970552 | Jennifer D Rothenberger | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2020-04-08 |
| 1790314029 | Christine D Nguyen | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2020-04-07 |
| 1174814883 | Gerald T O'connell | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2011-04-28 |
| 1275824385 | Lorraine W Bottorf | Pharmacist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2011-04-22 |
| 1588748602 | Wal-mart Stores East, Lp | Technician/Technologist | 5370 Allentown Pike, Temple, PA 19560-1200 | 2006-10-25 |
| 1639268386 | Rite Aid of Pennsylvania Inc | Durable Medical Equipment & Medical Supplies | 5370 Allentown Pike, North Reading Plaza, Temple, PA 19560-1200 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760911127 | Willie Marvin Hutchinson | Counselor | 1017 Highview Court, Temple, PA 19560 | 2017-06-08 |
| 1295981082 | Giant Food Stores, LLC | Durable Medical Equipment & Medical Supplies | 4320 N. 5th Street Hwy, Temple, PA 19560 | 2008-08-12 |
| 1174691802 | Donna Marie Di Jinio | Dentist | 4729 Kutztown Road, Temple, PA 19560 | 2006-12-01 |
| 1437176252 | Muhlenberg Medical Associates | Internal Medicine | 4201 Kutztown Road, Temple, PA 19560 | 2006-07-16 |
| 1407839368 | Sailaja Musunuri | Psychiatry & Neurology | 8th Avenue & Hay Rd, Kidspeace National Centers Berks Campus, Temple, PA 19560 | 2005-11-23 |
| 1437625530 | Kelsey Sara Reich | Specialist/Technologist | 400 Sharp Ave, Laureldale, PA 19560 | 2018-10-17 |
| 1467597161 | Kidspeace National Centers, Inc. | Nursing Care | 704 Hay Rd, Temple, PA 19560 | 2007-02-20 |
| 1386710432 | Brian S Klee Dpm | Podiatrist | 4148 Kutztown Rd, Temple, PA 19560 | 2006-11-28 |
| 1932207875 | Lawrence Capozello | Podiatrist | 4148 Kutztown Rd, Temple, PA 19560 | 2006-09-21 |
| 1568731784 | Amdent Ltd | Dentist | 5106 Allentown Pike, Temple, PA 19560-1212 | 2011-12-16 |
| Find all providers in zip 19560 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1336611250 | Karin Diane Holdampf | Pharmacist | 2401 S 31st St Rm W150, Temple, TX 76508-0001 | 2018-12-18 |
| 1316440852 | Jordan Rohder | Pharmacist | 2002 Scott Blvd, Temple, TX 76504-6900 | 2018-03-12 |
| 1649717083 | Thomas Jackson Fowler II | Pharmacist | 488 Carrollton Street, Temple, GA 30179 | 2017-01-24 |
| 1932658077 | Monal Punjabi | Pharmacist | 5213 Foxhill Rd, Temple, TX 76502-4106 | 2016-09-30 |
| 1043683022 | Nina Kim | Pharmacist | 2401 S 31st St # Msag407p, Temple, TX 76508-0001 | 2015-11-12 |
| 1760890859 | Mckinsey Ford | Pharmacist | 1201 Canyon Creek Dr, Temple, TX 76502-3299 | 2014-08-01 |
| 1871927624 | Grace Ifunanya Mbagwu | Pharmacist | 463 Westfield Blvd Apt. 612, Temple, TX 76502-5333 | 2013-08-29 |
| 1558603852 | Thomas Edward Chamberlain | Pharmacist | 1314 W. Adams Avenue, Temple, TX 76501 | 2013-03-25 |
| 1174875207 | Joann Pelage | Pharmacist | 3550 S General Bruce Dr Bldg A100, T-2278, Temple, TX 76504-5133 | 2012-10-13 |
| Find all providers in TEMPLE | ||||
Please comment or provide details below to improve the information on NICHOLAS BONANNI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.