Active NPI
Stephen William Booth
- Pharmacist
- Windsor, CA
National Provider Identifier
1861652448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 60961
- Practice address
- 7838 Carano Way
Windsor, CA 95492-7737 - Phone
- (707) 620-0562
- NPI assigned
- Jun 17, 2008
- Last updated
- Jan 31, 2014
- 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 | 60961 | CA | Primary |
Addresses
Primary practice location
7838 Carano Way
Windsor, CA 95492-7737
Mailing address
7838 Carano Way
Windsor, CA 95492-7737
Phone (707) 620-0562
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60961 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1861652448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7838 CARANO WAY",
"city": "WINDSOR",
"state": "CA",
"postal_code": "954927737",
"telephone_number": "707-620-0562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7838 CARANO WAY",
"city": "WINDSOR",
"state": "CA",
"postal_code": "954927737",
"telephone_number": "707-620-0562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTH",
"first_name": "STEPHEN",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-17",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "60961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.