DR. CHARLES BONANNO (NPI# 1861498842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861498842 |
Entity Type | Individual |
Full Name | DR. CHARLES BONANNO |
Credential | PHARM. D. |
Practice Address |
10000 Stirling Rd Ste 4 Hollywood FL 33024-8067 |
Practice Telephone | 9544357200 |
Practice Fax Number | 9544381030 |
Mailing Telephone | 9544357200 |
Mailing Fax Number | 9544249782 |
Enumeration Date | 2005-06-23 |
Last Update Date | 2007-11-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
PS20670 | FL | Pharmacy Service Providers |
N | 1835G0303X |
Pharmacist Specialization: Geriatric |
PU 5487 | FL | Pharmacy Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447740014 | Charles Bonanno | Student in an Organized Health Care Education/Training Program | 703 N Flamingo Rd, Pembroke Pines, FL 33028-1014 | 2018-05-18 |
1700942356 | Charles F Bonanno | Chiropractor | 357 Midland Ave, Garfield, NJ 07026-1654 | 2006-12-28 |
Street Address |
10000 STIRLING RD STE 4 |
City | HOLLYWOOD |
State | FL |
Zip Code | 33024-8067 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
Find all providers in zip 33024 |
Taxonomy Code | 1835P1200X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Pharmacotherapy |
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851447346 | Scott Edward Brown | Pharmacist | 4324 Monroe St, Hollywood, FL 33021-7256 | 2007-01-26 |
1760823165 | Robert Fishman | Pharmacist | 4401 Sheridan St, Hollywood, FL 33021-3513 | 2013-07-13 |
1093099699 | Pharmaceutical Care Associates | Pharmacist | 2640 Hollywood Blvd, Suite 209, Hollywood, FL 33020-4852 | 2011-10-01 |
1841425923 | Latrice Roebuck | Pharmacist | 2640 Hollywood Blvd, Suite 209, Hollywood, FL 33020-4852 | 2009-05-19 |
1053381582 | Sheerida Ann Hosein Mohammed | Pharmacist | 4105 Pembroke Rd, Hollywood, FL 33021-8103 | 2006-01-26 |
1205832946 | Dina Bernie Dumercy | Pharmacist | 3501 Johnson St, Hollywood, FL 33021-5421 | 2005-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215542972 | Julia Brown | Pharmacist | 3729 S Suncoast Blvd, Homosassa, FL 34448 | 2020-09-10 |
1871107771 | Monnette Coppola | Pharmacist | 2907 W Winthrop Rd, Tampa, FL 33611-4040 | 2020-09-08 |
1669082194 | Cindy Marie Padilla | Pharmacist | 600 S Dixie Hwy Apt 537, West Palm Beach, FL 33401-5852 | 2020-08-10 |
1861017592 | Managed Care Med Solutions, Inc | Pharmacist | 1436 Mendavia Ave, Coral Gables, FL 33146-1608 | 2020-06-09 |
1124647995 | Christian Calderon | Pharmacist | 4337 Nw 29th Way, Gainesville, FL 32605-1521 | 2020-04-13 |
1174156996 | Gwyneth Gordon | Pharmacist | 9650 Millpond Rd, Miramar, FL 33025-3826 | 2020-02-20 |
1285272237 | Thuy Thu Nguyen | Pharmacist | 11334 Nw 79th Mnr, Parkland, FL 33076-4811 | 2019-12-19 |
1982242038 | Tammy Kay Domanico | Pharmacist | 1500 N Ocean Blvd Apt 801, Pompano Beach, FL 33062-3438 | 2019-12-18 |
1255975660 | David Scott Ziska | Pharmacist | 9234 Brindlewood Drive, Odessa, FL 33556-3154 | 2019-10-30 |
1841847993 | Duane David Ashe | Pharmacist | 8848 Hampden Dr, Tampa, FL 33626-2935 | 2019-08-23 |
Find all providers with the same taxonomy |
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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.