BRANDON BORDONADO (NPI# 1770991598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770991598 |
| Entity Type | Individual |
| Full Name | BRANDON BORDONADO |
| Credential | PHARMD |
| Practice Address |
7209 Northern Blvd Jackson Heights NY 11372-1048 |
| Practice Telephone | 7185338434 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2020-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 28RI03608100 | NJ | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 058963 | NY | Pharmacy Service Providers |
| Street Address |
7209 NORTHERN BLVD |
| City | JACKSON HEIGHTS |
| State | NY |
| Zip Code | 11372-1048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174855605 | Jinh Ho | Pharmacist | 7209 Northern Blvd, Jackson Heights, NY 11372-1048 | 2010-02-09 |
| 1457889933 | Sophia Mesfin | Nurse Practitioner | 7209 Northern Blvd, Jackson Heights, NY 11372-1048 | 2017-05-30 |
| 1073907200 | Darshi Patel | Pharmacist | 7209 Northern Blvd, Jackson Heights, NY 11372-1048 | 2015-03-25 |
| 1811261605 | Erica L. Edmund | Nurse Practitioner | 7209 Northern Blvd, Jackson Heights, NY 11372-1048 | 2012-02-27 |
| 1366721987 | Alice Trang | Pharmacist | 7209 Northern Blvd, Jackson Heights, NY 11372-1048 | 2011-08-13 |
| 1396024030 | Diana Lam | Pharmacist | 7209 Northern Blvd, Jackson Heights, NY 11372-1048 | 2011-08-11 |
| 1114232519 | Le Tu Ho | Pharmacist | 7209 Northern Blvd, Jackson Heights, NY 11372-1048 | 2010-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028967 | Adults Medical Care, P.C. | Internal Medicine | 89 04 Northern Blvd, Ground Floor, Jackson Heights, NY 11372 | 2020-09-17 |
| 1568077014 | Toshihide Kuroe | Student in an Organized Health Care Education/Training Program | 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 | 2020-09-11 |
| 1134732142 | Wendell Jamias Abad | Physical Therapy Assistant | 90-33 Elmhurst Ave., Jackson Heights, NY 11372 | 2020-08-28 |
| 1508489022 | Shereda Lawrence | Nurse Practitioner | 86-10 Roosevelt Ave, Jackson Heights, NY 11372 | 2020-05-19 |
| 1710513395 | Golden Age Home Care, Inc | Home Health | 71-16 35th Street, Jackson Heights, NY 11372 | 2020-03-16 |
| 1497210611 | Andree Michel Decastro | Counselor | 76-05 Roosevelt Ave, 2nd Fl, Flushing, NY 11372 | 2019-02-01 |
| 1598234031 | Bithi Roy | Social Worker | 37-08 91st St Jackson Heights, Suit 3a, Jackson Heights, NY 11372 | 2018-11-14 |
| 1225506496 | Michael Anavian | Counselor | 7410 35 Ave Suite 107w, Jackson Heights, NY 11372 | 2018-11-06 |
| 1982189171 | Jackson Pharmacy Inc. | Pharmacy | 7102, 37th Avenue, Jackson Heights, NY 11372 | 2018-10-03 |
| 1689155814 | Sostenes Batista Lima | Counselor | 35-25 86th St Apt 1f, Jackson Heights, NY 11372 | 2018-08-26 |
| Find all providers in zip 11372 | ||||
| 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 |
|---|---|---|---|---|
| 1215407002 | Omar A Shaddad | Pharmacist | 3332 71st St Fl 1, Jackson Heights, NY 11372-1057 | 2018-12-05 |
| 1184192148 | Andrew Lay | Pharmacist | 3322 75th St, Jackson Heights, NY 11372-1143 | 2018-11-07 |
| 1609353697 | Maria Gomes | Pharmacist | 3742 95th St Fl 1, Jackson Heights, NY 11372-8027 | 2018-07-23 |
| 1952857146 | Rupenderjit Singh | Pharmacist | 8610 Roosevelt Ave, Jackson Heights, NY 11372-7503 | 2016-08-29 |
| 1003361460 | Elizabeth E Lee | Pharmacist | 8317 37th Ave, Jackson Heights, NY 11372-7320 | 2016-08-15 |
| 1447623434 | Jacob Greenfeld | Pharmacist | 8406 37th Ave, Jackson Heights, NY 11372-7339 | 2015-11-12 |
| 1851799043 | David Suen | Pharmacist | 37-59b 81st Street, Jackson Heights, NY 11372 | 2014-12-20 |
| 1467855767 | Evelyn Gonzalez | Pharmacist | 7316 Roosevelt Ave, Jackson Heights, NY 11372-6336 | 2014-09-30 |
| 1467793950 | David Wu | Pharmacist | 7612 Roosevelt Ave, Jackson Heights, NY 11372-6636 | 2013-03-07 |
| 1528312238 | Ashoka Benedict Gomes | Pharmacist | 9401, #7, 37th Ave, Jackson Heights, NY 11372-1137 | 2012-11-01 |
| Find all providers in JACKSON HEIGHTS | ||||
| City | JACKSON HEIGHTS |
| Zip Code | 11372 |
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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.