Organization Active NPI

Botrosons Pharmaceutical Inc

Doing business as Tower Pharmacy

  • Community/Retail Pharmacy
  • Mission Viejo, CA
National Provider Identifier
1346347184
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY46688 Issued in CA
Legal business name
BOTROSONS PHARMACEUTICAL INC
Doing business as
Tower Pharmacy
Practice address
26732 Crown Valley Pkwy
Suite 101
Mission Viejo, CA 92691-6306
Phone
(949) 364-1200
Fax
(949) 364-7240
NPI assigned
Sep 20, 2006
Last updated
Jun 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Authorized official

Name
Samih Botros, RPHNPI 1790908762
Title
Pic
Phone
(949) 364-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PHY46688 CA Primary

Addresses

Primary practice location

26732 Crown Valley Pkwy
Suite 101
Mission Viejo, CA 92691-6306

Mailing address

26732 Crown Valley Pkwy
Suite 101
Mission Viejo, CA 92691-6306
Phone (949) 364-1200

Other identifiers 2

IdentifierTypeStateIssuer
0593649OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PHA466880MedicaidCA

Other names 1

  • TOWER PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930061586 CA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 7719196013 Practice locations: Mission Viejo, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Tower Pharmacy26732 Crown Valley Pkwy, Mission Viejo, CA 92691-8531(949) 364-1200 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Does not accept assignmentParticipating since Jun 9, 2004

National Provider Directory

National Provider Directory
Tax ID family
Botrosons Pharmaceutical Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

26732 Crown Valley Pkwy
Ste 101
Mission Viejo, CA 92691
Phone (949) 364-1200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1346347184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY",
            "address_2": "SUITE 101",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916306",
            "telephone_number": "949-364-1200",
            "fax_number": "949-364-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26732 CROWN VALLEY PKWY",
            "address_2": "SUITE 101",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916306",
            "telephone_number": "949-364-1200",
            "fax_number": "949-364-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTROSONS PHARMACEUTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "BOTROS",
        "authorized_official_first_name": "SAMIH",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "949-364-1200",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0593649",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA466880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOWER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.