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MARINA BOULOS
NPI 1093666919
Pharmacist - Pharmacotherapy in Bronx, NY

Active since February 06, 2026
111 E 210TH ST, BRONX, NY 10467(908) 307-0088(908) 307-0088 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marina Boulos NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARINA BOULOS (NPI 1093666919) is an individual pharmacotherapy provider in Bronx, New York, licensed in New York (072781) and active in the NPI registry since February 2026.

NPPES Registry Identity

NPI1093666919
Entity TypeIndividualFemale
Primary Taxonomy1835P1200X
Provider Legal NameMARINA BOULOS
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address32 Hartlander StEast Brunswick, NJ 08816-2667 · (908) 307-0088 · Fax (908) 307-0088
Phone(908) 307-0088
Fax(908) 307-0088
Sole ProprietorYes
Enumeration DateFebruary 6, 2026
NPPES CertifiedFebruary 6, 2026
✔ NPI 1093666919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · PharmacotherapyPharmacy Service Providers
Taxonomy Code1835P1200X
License✔ Licensed in NY · 072781
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
111 E 210TH ST, Bronx, NY 10467
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MADHU SHARMA MD
Pediatrics (Pediatric Cardiology)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Bronx County (718) 741-2538
DR. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marina Boulos's NPI number?

The NPI number for Marina Boulos is 1093666919. It was assigned to this individual provider in the NPPES registry on February 6, 2026.

Where is Marina Boulos located?

Marina Boulos practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (908) 307-0088.

What is Marina Boulos's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

When was this NPI record last updated?

The NPPES record for Marina Boulos was last updated on February 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.