GERALD MICHAEL BONKO RPH NPI 1235612920

NPI Information

NPI: 1235612920
Provider Name: GERALD MICHAEL BONKO, RPH
Classification: Pharmacy - 3336M0003X
Entity Type: Individual

Specialization: Managed Care Organization Pharmacy

Address:
200 STEVENS DR
PHILA, PA
ZIP 19113
Phone: (215) 863-6483
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Gerald Michael Bonko, RPH is a managed care organization pharmacy pharmacy in Phila, PA. The provider is 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. Gerald Michael Bonko, RPH NPI is 1235612920. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 STEVENS DR
PHILA, PA
ZIP 19113-520
Phone: (215) 863-6483

The enumeration date for this NPI number is 9/10/2018 and was last updated on 9/10/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336M0003X	Pharmacy	Managed Care Organization Pharmacy			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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