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Bushra Bofahredin

NPI 1922402221ActiveIndividual· Pharmacy· Pennsauken, NJ

Pharmacy in Pennsauken, New Jersey, licensed in NJ, with an NPI issued in October 2014.

Overview

NPI1922402221
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedOct 15, 2014
Last updated in NPPESOct 15, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X28RS00736300NJ

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pharmacy providers in Pennsauken

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