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Active NPI 1578156220 Individual Practitioner Male Practitioner

John Ryan Bonaobra

Pharmacy Technician • Broken Arrow, OK

Professional Overview & Biography Verified Profile Summary

John Ryan Bonaobra is a registered healthcare professional specializing in Pharmacy Technician in Broken Arrow, OK. Practice services are available at 1770 S ELM PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1770 S Elm Pl

Broken Arrow, OK 740126453

Telephone 9182586185
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1386663391

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacy Technician in Broken Arrow, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Broken Arrow, OK (85 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-02-13
Pharmacy Technician Primary Specialty

NUCC Taxonomy Code: 183700000X

State License OK 26021

A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1134403348

Doctor of Pharmacy (Pharm.D.)

Caitlin Barnard

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1144707894
NPI 1376144964

Doctor of Pharmacy (Pharm.D.)

NPI 1710587373

Doctor of Pharmacy (Pharm.D.)

NPI 1982372785

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 13, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 13, 2021

Registered at 1770 S ELM PL, BROKEN ARROW, OK 740126453 (Tel: 9182586185)

📍
Updated Business Mailing Address February 13, 2021

Registered at 1770 S ELM PL, BROKEN ARROW, OK 740126453 (Tel: 9182586185)

👤
Provider Name / Credentials Updated February 13, 2021

Recorded as JOHN RYAN BONAOBRA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2021

Pharmacy Technician (License #26021 in OK)

🟢
Initial NPI Registration & Enumeration February 13, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578156220
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2021
Last Update: February 13, 2021
Sole Proprietor: No

Mailing Address

1770 S Elm Pl

Broken Arrow, OK 740126453

Phone: 9182586185

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.