Alexander Michael Botros, R.PH, JD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0007269 Issued in CT

Practice address

1271 Main St
Rite Aid 922
Watertown, CT 06795-3107

Phone

(860) 274-9191

Fax

(860) 274-4370

NPI assigned

May 15, 2011

Last updated

May 15, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1305417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305417600000",
    "number": "1164714770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 MAIN ST",
            "address_2": "RITE AID 922",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067953107",
            "telephone_number": "860-274-9191",
            "fax_number": "860-274-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 MAIN ST",
            "address_2": "RITE AID 922",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067953107",
            "telephone_number": "860-274-9191",
            "fax_number": "860-274-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTROS",
        "first_name": "ALEXANDER",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "R.PH, JD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-15",
        "last_updated": "2011-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "0007269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herold Bence, PHARM D
• Morgan Bennett
• Corina Bernacchi
• Laura Blair
• Allison Blake, OTR/L
• Robert Kingsbury Botta, M.D.
• Jenna Bouffard, LAT, ATC
• Jenna Ann Bourassa, LCSW
• Mary Jane Moran Brackett, MD
• Lisa Michele Breton, PTA, LAC

• Pharmacist in Watertown, CT
• Providers in Watertown, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2011; 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.