Michael Joseph Bertoni Sr., RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

032942 Issued in NY

Practice address

138 Vestal Pkwy W
Vestal, NY 13850-1542

Phone

(607) 748-7421

Fax

(607) 748-2267

NPI assigned

Jan 18, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• CVS Albany LLC

  • Pharmacy
  • Vestal, NY
  • NPI 1760586515
  NPD (past)
• CVS Albany LLC

  • Pharmacy
  • Brooklyn, RI
  • NPI 1679459481
  NPD (past)

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1740466853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 VESTAL PKWY W",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501542",
            "telephone_number": "607-748-7421",
            "fax_number": "607-748-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 VESTAL PKWY W",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138501542",
            "telephone_number": "607-748-7421",
            "fax_number": "607-748-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTONI",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-18",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "032942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183500000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alycia M Bensley, FNP
• Nicolas Demoski Benson, PHARMD
• Kimberly Ann Benton
• Michael Bertenthal, PH.D.
• Maria Theresa Bertini, D.O.
• Amar Ramesh Bhandari, DDS MD
• Priya Bhuva, OD
• Frances C Bidwell, ANP
• Binghamton University Health Services
• Zachary Kyle Bird, OD

• All providers in Vestal, NY
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.