Active NPI
Michael Charles Bardino, PHARM. D
- Pharmacist
- Saratoga Springs, NY
National Provider Identifier
1851042022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 068353
- Practice address
- 34 Congress St
Saratoga Springs, NY 12866-4158 - Phone
- (519) 587-3098
- NPI assigned
- Jan 10, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 068353 | NY | Primary |
Addresses
Primary practice location
34 Congress St
Saratoga Springs, NY 12866-4158
Mailing address
83 Washington St Apt 2
Saratoga Springs, NY 12866-4134
Phone (518) 488-9177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068354 | Other | NY | LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Phone | Direct | CVS ALBANY LLC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 068353 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1851042022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 WASHINGTON ST APT 2",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128664134",
"telephone_number": "518-488-9177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 CONGRESS ST",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128664158",
"telephone_number": "519-587-3098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARDINO",
"first_name": "MICHAEL",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-01-10",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "068353",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "068354",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Phone",
"affiliation": "Y",
"endpointDescription": "5185873098",
"affiliationName": "CVS ALBANY LLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "34 Congress St",
"city": "Saratoga Springs",
"state": "NY",
"country_code": "US",
"postal_code": "128664158",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.