Individual provider Active NPI

Michael Bottarini, R.PH.

  • Pharmacist
  • Union City, CA
National Provider Identifier
1730629437
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
36536 Issued in CA
Practice address
32980 Alvarado Niles Rd Ste 836
Union City, CA 94587-3186
Phone
(510) 477-4312
Fax
(510) 477-4383
NPI assigned
Feb 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 36536 CA Primary

Addresses

Primary practice location

32980 Alvarado Niles Rd Ste 836
Union City, CA 94587-3186

Mailing address

32980 Alvarado Niles Rd Ste 836
Union City, CA 94587-3186
Phone (510) 477-4312

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
36536CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmacy Corporation of America Past Accepting new patients
Pharmacy Corporation of America 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1730629437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32980 ALVARADO NILES RD STE 836",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873186",
            "telephone_number": "510-477-4312",
            "fax_number": "510-477-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32980 ALVARADO NILES RD STE 836",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873186",
            "telephone_number": "510-477-4312",
            "fax_number": "510-477-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTARINI",
        "first_name": "MICHAEL",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "36536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.