Individual provider Active NPI

Michael Charles Bardino, PHARM. D

  • Pharmacist
  • Saratoga Springs, NY
National Provider Identifier
1851042022
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
068353 Issued in NY
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

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
068354OtherNYLICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
068353NYMDPharmacist

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.

Verify at the official NPI Registry.