Jonathan Rolando Vargas-Boteo, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

83136 Issued in CA

Practice address

15940 Quantico Rd Ste 100
Apple Valley, CA 92307-1300

Phone

(760) 946-1414

NPI assigned

Jan 6, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tri City RX Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Apple Valley, CA
  • NPI 1407401946
  NPD

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1316535115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14441 PALO ALTO CT",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923925435",
            "telephone_number": "760-596-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15940 QUANTICO RD STE 100",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071300",
            "telephone_number": "760-946-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS-BOTEO",
        "first_name": "JONATHAN",
        "middle_name": "ROLANDO",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "83136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Victorville",
            "affiliation": "N",
            "endpointDescription": "jv",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15940 Quantico Rd Ste 100",
            "city": "Apple Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923071300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Ana Maria Vargas
• Erica Taylor Vargas
• Melissa Vargas, PA-C
• Saul Vargas
• Dan Vasile, D.O

• Pharmacist in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.