Organization Active NPI

Botika Inc

  • Long Term Care Pharmacy
  • San Jose, CA
National Provider Identifier
1619345527
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PHY53792 Issued in CA
Legal business name
BOTIKA INC
Practice address
1939 Monterey Hwy Ste 2
San Jose, CA 95112-6149
Phone
(408) 378-2363
Fax
(408) 378-2374
NPI assigned
Sep 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Reece De Leon
Title
Pic
Phone
(408) 378-2363

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Long Term Care Pharmacy 3336L0003X PHY53792 CA Primary

Addresses

Primary practice location

1939 Monterey Hwy Ste 2
San Jose, CA 95112-6149

Mailing address

1939 Monterey Hwy Ste 2
San Jose, CA 95112-6149
Phone (408) 378-2363

Other identifiers 2

IdentifierTypeStateIssuer
1619345527MedicaidCA
2154090OtherPK

Other names 1

  • Botika LTC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160815002923 CA DME Supplier - Pharmacy 7911291844 Practice locations: San Jose, CA
O20190502002665 CA Part B Supplier - Mass Immunization (Roster Biller Only) 7911291844 Practice locations: San Jose, CA

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
Botika LTC1939 Monterey Hwy, San Jose, CA 95112-6149(408) 378-2363 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Sep 14, 2018

National Provider Directory

National Provider Directory

Locations

621 E Campbell Ave
Ste 1
Campbell, CA 95008
Phone (408) 378-2363

1939 Monterey Hwy
Ste 2
San Jose, CA 95112
Phone (408) 378-2363

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1619345527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 MONTEREY HWY STE 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126149",
            "telephone_number": "408-378-2363",
            "fax_number": "408-378-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 MONTEREY HWY STE 2",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126149",
            "telephone_number": "408-378-2363",
            "fax_number": "408-378-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOTIKA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2025-09-19",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "DE LEON",
        "authorized_official_first_name": "REECE",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "408-378-2363"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CA",
            "license": "PHY53792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619345527",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154090",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Botika LTC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Botika LTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.