Individual provider Active NPI

Viral Kothary, PHARM.D., BCPS, BCGP

  • Pharmacotherapy Pharmacist
  • Buena Park, CA
National Provider Identifier
1417916669
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
53998 Issued in CA
Practice address
7625 Mexico Way
Buena Park, CA 90620-1236
Phone
(559) 431-7972
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 53998 CA
Pharmacotherapy Pharmacist 1835P1200X 53998 CA Primary

Addresses

Primary practice location

7625 Mexico Way
Buena Park, CA 90620-1236

Mailing address

7625 Mexico Way
Buena Park, CA 90620-1236
Phone (559) 431-7972

Other practice location 1

2615 E Clinton Ave
Mail Route 119
Fresno, CA 93703-2223
Phone (559) 225-6100 ext. 5119

Other practice location 2

2615 E Clinton Ave
Mail Route 119
Fresno, CA 93703-2223
Phone (559) 225-6100 ext. 5119

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
53998CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1417916669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 MEXICO WAY",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201236",
            "telephone_number": "559-431-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 MEXICO WAY",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906201236",
            "telephone_number": "559-431-7972"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2615 E Clinton Ave",
            "address_2": "Mail Route 119",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937032223",
            "country_code": "US",
            "telephone_number": "559-225-6100 x5119",
            "fax_number": "559-241-6496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2615 E Clinton Ave",
            "address_2": "Mail Route 119",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937032223",
            "country_code": "US",
            "telephone_number": "559-225-6100 x5119",
            "fax_number": "559-241-6496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTHARY",
        "first_name": "VIRAL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., BCPS, BCGP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "53998",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "53998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.