Individual provider Active NPI

Charles L Bates, BS PHARM

  • Pharmacist
  • Utica, NY
National Provider Identifier
1154643492
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
032350 Issued in NY
Practice address
710 Horatio St
Utica, NY 13502-1461
Phone
(315) 738-0759
Fax
(315) 738-0759
NPI assigned
Feb 26, 2010
Last updated
Feb 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 032350 NY Primary

Addresses

Primary practice location

710 Horatio St
Utica, NY 13502-1461

Mailing address

710 Horatio St
Utica, NY 13502-1461
Phone (315) 738-0759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Science, Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
032350NYMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267142400000",
    "number": "1154643492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 HORATIO ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135021461",
            "telephone_number": "315-738-0759",
            "fax_number": "315-738-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 HORATIO ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135021461",
            "telephone_number": "315-738-0759",
            "fax_number": "315-738-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "CHARLES",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "BS PHARM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-26",
        "last_updated": "2010-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "032350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.