MR. IRA BOLOGH (NPI# 1891017612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891017612 |
| Entity Type | Individual |
| Full Name | MR. IRA BOLOGH |
| Credential | R.PH. |
| Practice Address |
455 Broadway Bayonne NJ 07002-7112 |
| Practice Telephone | 2013391992 |
| Practice Fax Number | 2018581714 |
| Mailing Telephone | 2013391992 |
| Mailing Fax Number | 2018581714 |
| Enumeration Date | 2010-02-21 |
| Last Update Date | 2010-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI01187100 | NJ | Pharmacy Service Providers |
| Street Address |
455 BROADWAY |
| City | BAYONNE |
| State | NJ |
| Zip Code | 07002-7112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639102940 | Bayonne Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 455 Broadway, Bayonne, NJ 07002-3623 | 2006-07-09 |
| 1508385337 | Bayonne Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 455 Broadway, Bayonne, NJ 07002-7112 | 2017-09-13 |
| 1437573052 | Jerry's Drug & Surgical | Pharmacy | 455 Broadway, Bayonne, NJ 07002-7112 | 2014-02-18 |
| 1346517125 | Lisa Cutro | Pharmacist | 455 Broadway, Bayonne, NJ 07002-7112 | 2011-11-22 |
| 1568749562 | Mary Ellen Boyle | Pharmacist | 455 Broadway, Bayonne, NJ 07002-7112 | 2011-11-04 |
| 1457673576 | Piotr Komosinski | Pharmacist | 455 Broadway, Bayonne, NJ 07002-7112 | 2010-02-16 |
| 1841414752 | Andrew Bruno | Pharmacist | 455 Broadway, Bayonne, NJ 07002-3623 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
| 1972114437 | New Jersery Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 18-40 Goldsborough Drive, Bayonne, NJ 07002 | 2020-08-10 |
| 1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
| 1093377152 | Moneeb Arshad Chohan | General Practice | 9 E 29th St, Bayonne, Bayonne, NJ 07002 | 2019-06-28 |
| 1477113835 | Jay Hwang | Dentist | 1160 John F. Kennedy Blvd, Suite B, Bayonne, NJ 07002 | 2019-06-18 |
| 1740845932 | Sara Shi | Student in an Organized Health Care Education/Training Program | Bayonne Medical Center, 29 E 29th St, Bayonne, NJ 07002 | 2019-05-03 |
| 1376003855 | S.akhtar.md.llc | Internal Medicine | 16 East 29th St, Bayonne, NJ 07002 | 2019-03-21 |
| 1144799701 | Perfect Home Care | Home Health | 473 Broadway Suite 402, Bayonne, NJ 07002 | 2018-11-13 |
| 1881174688 | Windmill Alliance Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 184 186 Hobart Avenue, Apartment #2, Bayonne, NJ 07002 | 2018-08-21 |
| 1437642774 | Agape Chen | Student in an Organized Health Care Education/Training Program | 29th Street & Avenue E, Bayonne, NJ 07002 | 2018-06-12 |
| Find all providers in zip 07002 | ||||
| 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 |
|---|---|---|---|---|
| 1740892207 | Sarah Estfanos | Pharmacist | 292 Avenue B, Bayonne, NJ 07002-5967 | 2020-08-17 |
| 1295360485 | Heba Elabasiri | Pharmacist | 481 Avenue E Apt 2, Bayonne, NJ 07002-4712 | 2020-03-08 |
| 1790329209 | Shelby Jeanne Derrick | Pharmacist | 44 E 52nd St Fl 2, Bayonne, NJ 07002-4119 | 2019-10-29 |
| 1417590019 | Sophia Politis | Pharmacist | 43 E 32nd St, Bayonne, NJ 07002-4708 | 2019-10-26 |
| 1376005959 | Parisa Lashkari | Pharmacist | 300 Constitution Ave Apt 139, Bayonne, NJ 07002-5079 | 2019-04-03 |
| 1053808311 | Muhammad Bilal Sheikh | Pharmacist | 78 W 43rd St, Bayonne, NJ 07002-2006 | 2018-04-21 |
| 1043717887 | Marina Galoaa | Pharmacist | 668 Avenue C Fl 1, Bayonne, NJ 07002-2803 | 2018-04-09 |
| 1841701703 | Maykel Wahba | Pharmacist | 1225 Kennedy Blvd Apt 9e, Bayonne, NJ 07002-2255 | 2017-10-18 |
| 1235688029 | Peter I Ibrahim | Pharmacist | 137w, 50 Street,apt 2, Bayonne, NJ 07002 | 2016-09-22 |
| 1992196760 | George Bekhit | Pharmacist | 637 Kennedy Blvd, Apt #2, Bayonne, NJ 07002-2725 | 2015-02-13 |
| Find all providers in BAYONNE | ||||
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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.