Maria Angela Bottalico, PHARM.D., RPH.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

048514 Issued in NY

Practice address

2090 Albany Post Road
Montrose, NY 10548

Phone

(914) 737-4400

NPI assigned

Sep 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1992808943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 ROSE DRIVE",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "10541",
            "telephone_number": "914-737-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 ALBANY POST ROAD",
            "city": "MONTROSE",
            "state": "NY",
            "postal_code": "10548",
            "telephone_number": "914-737-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTALICO",
        "first_name": "MARIA",
        "middle_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D., RPH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NY",
            "license": "048514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Francis Boddie, LPN
• Rita Lee Bodine, PHARM.D.
• Vincent Bonadies, CTRS
• Joseph N Boos, O.D.
• Tamiris Angela Booth
• Heather Boyers, LMSW
• Kia Lizette Brinson-Mason, PH.D.
• Daipaul Royale Brown, OD
• Tamara Lee Brown, LMSW
• Olivia Bruno, OD

• All providers in Montrose, NY
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.