BONITA PHARMACY (NPI# 1891193470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891193470 |
| Entity Type | Organization |
| Organization Name | BONITA PHARMACY |
| Practice Address |
4190 Bonita Rd Ste 101 Bonita CA 91902-1330 |
| Practice Telephone | 6199529009 |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-12 |
| Authorized Official Name | MOHAMMAD SAMER ELHOMSY (CEO/OWNER) |
| Authorized Official Telephone | 6199529009 |
| Authorized Official Credential | PHARM.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHY 51970 | CA | Suppliers |
| Y | 333600000X | Pharmacy | PHY 51970 | CA | Suppliers |
| Street Address |
4190 BONITA RD STE 101 |
| City | BONITA |
| State | CA |
| Zip Code | 91902-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598124588 | Bonita Drive Thru Pharmacy | Pharmacy | 4190 Bonita Rd Ste 101, Bonita, CA 91902-1330 | 2016-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437693306 | A Caring Touch Home Care LLC | Home Health | 4045 Bonita Rd, 207, Bonita, CA 91902 | 2016-12-13 |
| 1578882494 | Sandhya Hegde Dds, Inc | Dentist | 4424 Bonita Road, Bonita, CA 91902 | 2010-05-18 |
| 1861684680 | Jennifer E Sims Dds Inc | Dentist | 5080 Bonita Road, Suite N, Bonita, CA 91902 | 2007-08-15 |
| 1669528543 | Dora A. Sanchez | Marriage & Family Therapist | 4045 Bonita Rd Ste 108, Bonita, CA 91902 | 2007-01-25 |
| 1528126190 | Bonita Cardiovascular Med Grp Inc | Surgery | 3916 Palm Drive, Bonita, CA 91902 | 2006-12-05 |
| 1265447668 | Lilinda Cruz Enano | Dentist | 4144 Bonita Rd, Bonita, CA 91902 | 2006-07-31 |
| 1548505803 | Marisa Cristina Ludden | Dentist | 5050 Bonita Rd, Bonita, CA 91902 | 2012-11-27 |
| 1629255021 | Julie K Laffen | Acupuncturist | 4514 Bonita Rd, Bonita, CA 91902 | 2008-01-28 |
| 1366563967 | Kristi Lee | Pharmacist | 4348 Bonita Road, Bonita, CA 91902 | 2007-04-02 |
| 1306191622 | Karen V. Houston | Dental Hygienist | 3340 Bonita Mesa Rd, Bonita, CA 91902-1021 | 2012-07-24 |
| Find all providers in zip 91902 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730286576 | Bonita Pharmacy Inc | Pharmacy | 4190 Bonita Rd, Ste 101, Bonita, CA 91902-1329 | 2006-09-20 |
| 1598813321 | Kaiser Foundation Health Plan Inc | Pharmacy | 3955 Bonita Rd, Bonita, CA 91902-1230 | 2007-01-08 |
| 1982751202 | Kaiser Foundation Health Plan Inc | Pharmacy | 3955 Bonita Rd, Bonita, CA 91902-1230 | 2007-01-05 |
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|---|---|---|---|---|
| 1114528940 | Kaiser Foundation Health Plan Inc | Pharmacy | 4647 Zion Ave Fl4, Rm 4825, San Diego, CA 92120-2507 | 2020-11-06 |
| 1891394128 | Scriptdash Inc | Pharmacy | 4240 Kearny Mesa Rd Ste 107, San Diego, CA 92111-3769 | 2020-10-19 |
| 1235736737 | Scriptdash Inc | Pharmacy | 2360 Qume Dr, San Jose, CA 95131-1838 | 2020-10-07 |
| 1023615150 | Kaiser Foundation Health Plan Inc | Pharmacy | 9550 Escondido Ave Fl 1, Rm 1100, Hesperia, CA 92345-9120 | 2020-10-01 |
| 1033725478 | Happy Med Inc. | Pharmacy | 210 S Grand Ave Ste 116, Glendora, CA 91741-4262 | 2020-09-21 |
| 1366058794 | Joanna Jongae Kim | Pharmacy | 1020 S Anaheim Blvd Ste 101, Anaheim, CA 92805-5807 | 2020-09-21 |
| 1114532231 | Prime Rx San Gabriel, Inc. | Pharmacy | 533 W Las Tunas Dr # 102, San Gabriel, CA 91776-1133 | 2020-09-15 |
| 1164034260 | Tin Rx At The Tower Inc. | Pharmacy | 1801 Colorado Ave Ste 300, Turlock, CA 95382-2708 | 2020-08-19 |
| 1144831702 | Cameron Michael Rehmani Seraji | Pharmacy | 10542 Villa Del Cerro, Santa Ana, CA 92705-1486 | 2020-08-16 |
| 1881204907 | Kaiser Foundation Health Plan Inc | Pharmacy | 25821 S Vermont Ave Fl 4, Rm 4049, Harbor City, CA 90710-3518 | 2020-08-04 |
| 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.