BOAS PARK (NPI# 1124431630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124431630 |
| Entity Type | Individual |
| Full Name | BOAS PARK |
| Credential | PHARMD |
| Practice Address |
301 N Harrison St Princeton NJ 08540-3512 |
| Mailing Address |
73 Juniper Way Hamilton NJ 08619-4612 |
| Practice Telephone | 6099246125 |
| Mailing Telephone | 2019833633 |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI03493900 | NJ | Pharmacy Service Providers |
| Street Address |
301 N HARRISON ST |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08540-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477536597 | Allen J. Schneider | Pediatrics | 301 N Harrison St, Princeton Nassau Pediatrics, Princeton, NJ 08540-3512 | 2005-11-22 |
| 1568963056 | Jay Ketkar | Pharmacist | 301 N Harrison St, Princeton, NJ 08540-3527 | 2018-02-21 |
| 1073030128 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 301 N Harrison St, Princeton, NJ 08540-3527 | 2017-08-29 |
| 1467976316 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 301 N Harrison St, Princeton, NJ 08540-3527 | 2017-08-02 |
| 1982144309 | Kalpana Karri | Pharmacist | 301 N Harrison St, Princeton, NJ 08540-3512 | 2017-03-03 |
| 1417400342 | Dave Amin | Pharmacist | 301 N Harrison St, Princeton, NJ 08540-3512 | 2016-07-27 |
| 1588050876 | Rajesh Gadde | Pharmacist | 301 N Harrison St, Princeton, NJ 08540-3512 | 2015-04-13 |
| 1184033482 | Jenitta Kwong | Pediatrics | 301 N Harrison St, Princeton, NJ 08540-3512 | 2014-08-12 |
| 1952644452 | Jared Winikor | Pediatrics | 301 N Harrison St, Princeton, NJ 08540-3527 | 2013-04-03 |
| 1235450693 | Ji Yong Kong | Pediatrics | 301 N Harrison St, Princeton, NJ 08540-3512 | 2010-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
| 1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
| 1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
| 1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
| 1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
| 1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
| 1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
| Find all providers in zip 08540 | ||||
| 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 |
|---|---|---|---|---|
| 1104426568 | John Louis Putorek | Pharmacist | 176 Blueridge Ave, Princeton, WV 24740-4226 | 2020-10-27 |
| 1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
| 1871102384 | Chad Holzmeyer | Pharmacist | 101 W Brumfield Ave., Princeton, IN 47670 | 2020-07-30 |
| 1265082374 | Hyunjee Song | Pharmacist | 10 Scarlet Oak Dr, Princeton, NJ 08540-4610 | 2019-09-19 |
| 1255817565 | Asit Patel | Pharmacist | 18 Renfield Dr, Princeton, NJ 08540-6260 | 2018-07-19 |
| 1518456987 | Adel G. Said | Pharmacist | 16 Red Oak Row, Princeton, NJ 08540-2840 | 2018-05-01 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1861889990 | Melodie Grady | Pharmacist | 1143 Bear Creek Rd, Princeton, ID 83857-9753 | 2015-04-15 |
| 1184028268 | Stephen Gray Crowe | Pharmacist | 1229 Stafford Dr, Princeton, WV 24740-2465 | 2014-10-17 |
| 1174951784 | Venugopal Ghanta Venkata | Pharmacist | 261 Mather Ave, Princeton, NJ 08540-6440 | 2013-10-16 |
| Find all providers in PRINCETON | ||||
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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.