GERALD MICHAEL BONKO (NPI# 1235612920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235612920 |
| Entity Type | Individual |
| Full Name | GERALD MICHAEL BONKO |
| Credential | RPH |
| Practice Address |
200 Stevens Dr Phila PA 19113-1520 |
| Mailing Address |
19 Teal Dr Langhorne PA 19047-8233 |
| Practice Telephone | 2158636483 |
| Mailing Telephone | 2157156893 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336M0003X |
Pharmacy Specialization: Managed Care Organization Pharmacy |
Suppliers |
| Street Address |
200 STEVENS DR |
| City | PHILA |
| State | PA |
| Zip Code | 19113-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487191110 | Shiven Bhardwaj | Pharmacist | 200 Stevens Drive, Philadelphia, PA 19113 | 2017-01-19 |
| 1720587793 | Jenny Cheung | Pharmacist | 200 Stevens Drive, Philadelphia, PA 19113 | 2018-02-06 |
| 1922644145 | Prudentiacare Home Health Services, LLC | Non-emergency Medical Transport (VAN) | 1 International Plz # 517, Philadelphia, PA 19113-1510 | 2019-11-22 |
| 1740730845 | Larvar Tamika Edwards | In Home Supportive Care | 1 International Plz Ste 537, Philadelphia, PA 19113-1510 | 2016-10-12 |
| 1861517096 | Lawrence Joseph Guzzardi | Emergency Medicine | 1 International Plz, Suite 550, Philadelphia, PA 19113-1510 | 2007-03-20 |
| 1619507076 | Helix Home Health, LLC | Home Health | 1 International Plz, Philadelphia, PA 19113-1510 | 2020-01-24 |
| 1417308941 | Creative Independent Alliance | Case Management | 1 International Plz, Suite 550, Philadelphia, PA 19113-1510 | 2016-06-27 |
| 1528497013 | Agency Dependent Assistance Management Services Inc. | Durable Medical Equipment & Medical Supplies | 1 International Plz, Suite 550, Philadelphia, PA 19113-1510 | 2013-11-05 |
| 1427367812 | Actera Health Inc. | Home Health | 1 International Plz, Suite 550, Philadelphia, PA 19113-1510 | 2010-10-02 |
| 1508041252 | Childrens Choice Inc | Nursing Care | 2 International Plaza, Suite 325, Philadelphia, PA 19113-1511 | 2007-12-31 |
| Find all providers in zip 19113 | ||||
| Taxonomy Code | 3336M0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Managed Care Organization Pharmacy |
| A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO’s covered members only. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427413517 | Rx Plus LLC | Pharmacy | 520 N Columbus Blvd, Suite 202, Philadelphia, PA 19123-4226 | 2015-12-16 |
| 1003053174 | Benecard Central Fill of Pa LLC | Pharmacy | 5040 Ritter Rd, Mechanicsburg, PA 17055-4879 | 2009-01-12 |
| 1295822195 | Kendal Crosslands | Pharmacy | 1660 E Street Rd, Kennett Square, PA 19348-2300 | 2006-10-10 |
Please comment or provide details below to improve the information on GERALD MICHAEL BONKO.
| 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.