Individual provider Active NPI

Salvatore Michael Bottiglieri, PHARM.D.

  • Pharmacist
  • Tampa, FL
National Provider Identifier
1386806529
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19604 Issued in NC
Practice address
12902 Magnolia Drive
Moffitt Cancer Center, Dept of Pharmacy
Tampa, FL 33612
Phone
(914) 403-0226
NPI assigned
Jun 30, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19604 NC Primary

Addresses

Primary practice location

12902 Magnolia Drive
Moffitt Cancer Center, Dept of Pharmacy
Tampa, FL 33612

Mailing address

12902 Magnolia Drive
Moffitt Cancer Center, Dept of Pharmacy
Tampa, FL 33612
Phone (914) 403-0226

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
19604NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1386806529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12902 MAGNOLIA DRIVE",
            "address_2": "MOFFITT CANCER CENTER, DEPT OF PHARMACY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33612",
            "telephone_number": "914-403-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12902 MAGNOLIA DRIVE",
            "address_2": "MOFFITT CANCER CENTER, DEPT OF PHARMACY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33612",
            "telephone_number": "914-403-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTIGLIERI",
        "first_name": "SALVATORE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "19604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.