Active NPI
Lester H Botill
- Pharmacist
- Atwater, CA
National Provider Identifier
1629326053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28416
- Practice address
- 2730 Shaffer Rd
Atwater, CA 95301-2225 - Phone
- (209) 357-9430
- Fax
- (209) 357-9595
- NPI assigned
- Aug 15, 2012
- Last updated
- Aug 15, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28416 | CA | Primary |
Addresses
Primary practice location
2730 Shaffer Rd
Atwater, CA 95301-2225
Mailing address
2730 Shaffer Road
Atwater, CA 95301
Phone (209) 357-9430
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1629326053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 SHAFFER ROAD",
"city": "ATWATER",
"state": "CA",
"postal_code": "95301",
"telephone_number": "209-357-9430",
"fax_number": "209-357-9595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 SHAFFER RD",
"city": "ATWATER",
"state": "CA",
"postal_code": "953012225",
"telephone_number": "209-357-9430",
"fax_number": "209-357-9595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTILL",
"first_name": "LESTER",
"middle_name": "H",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-15",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "28416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atwater, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.