NPIMap

Organization Active NPI

Apothecary Botanica

Doing business as El Macero Pharmacy

  • Community/Retail Pharmacy
  • Davis, CA
National Provider Identifier
1982882429
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
APOTHECARY BOTANICA
Doing business as
El Macero Pharmacy
Practice address
417 Mace Blvd
Suite D
Davis, CA 95618-6053
Phone
(530) 231-6520
Fax
(530) 231-6429
NPI assigned
Feb 6, 2008
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Bradley Jay Brazill, PHARM.D.NPI 1700898673
Title
President/Ceo
Phone
(530) 231-6520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

417 Mace Blvd
Suite D
Davis, CA 95618-6053

Mailing address

417 Mace Blvd
Suite D
Davis, CA 95618-6053
Phone (530) 231-6520

Other names 1

  • El Macero Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

417 Mace Blvd
Ste D
Davis, CA 95618
Phone (530) 231-6520

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1982882429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 MACE BLVD",
            "address_2": "SUITE D",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956186053",
            "telephone_number": "530-231-6520",
            "fax_number": "530-231-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 MACE BLVD",
            "address_2": "SUITE D",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956186053",
            "telephone_number": "530-231-6520",
            "fax_number": "530-231-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOTHECARY BOTANICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "BRAZILL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "530-231-6520",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Macero Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.