DR. MICHAEL JAMES OTTERSON (NPI# 1275714362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275714362 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JAMES OTTERSON |
| Credential | PHARMD |
| Practice Address |
1460 S Park Ave Buffalo NY 14220-1041 |
| Practice Telephone | 7165152060 |
| Practice Fax Number | 7165152071 |
| Mailing Telephone | 7165152060 |
| Mailing Fax Number | 7165152071 |
| Enumeration Date | 2007-11-17 |
| Last Update Date | 2007-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 048889 | NY | Pharmacy Service Providers |
| Street Address |
1460 S PARK AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14220-1041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578744819 | Tops Markets LLC | Pharmacy | 1460 S Park Ave, Buffalo, NY 14220-1041 | 2007-11-15 |
| 1164754024 | Jennifer Lynn Tober | Pharmacist | 1460 S Park Ave, Buffalo, NY 14220-1041 | 2010-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003450735 | Suburban Dentistry PC | Dental Hygienist | 1050 Abbott Road, Buffalo, NY 14220 | 2019-11-06 |
| 1912554155 | Christopher A. Grato | Technician | 134 Crystal Ave, Buffalo, NY 14220 | 2019-08-22 |
| 1942777081 | Marissa Edwards Sheehan | Student in an Organized Health Care Education/Training Program | 429 S. Legion Dr, Buffalo, NY 14220 | 2018-10-26 |
| 1235641515 | Cathleen Jo Lang | Registered Nurse | 43 Eaglewood Ave., Buffalo, NY 14220 | 2017-10-26 |
| 1659827889 | Kara Woodard | Nurse Practitioner | 565 Abbott Rd., Buffalo, NY 14220 | 2016-08-28 |
| 1902286230 | Ngoc Yen Pham | Obstetrics & Gynecology | 515 Abbott Rd Ste 302, Buffalo, NY 14220 | 2015-06-02 |
| 1396029260 | Tracy M Dargan | Registered Nurse | 789 Gilmore Avenue, North Tonawanda, NY 14220 | 2011-10-10 |
| 1447400544 | Sylvia Marie Vasconcellos | Registered Nurse | 515 Abbott Rd. / Suite 306, Buffalo Mercy Hospital, Buffalo, NY 14220 | 2008-09-25 |
| 1184755464 | Sisters of Mercy of The Americas | Speech-Language Pathologist | 625 Abbott Road, Buffalo, NY 14220 | 2007-03-08 |
| 1154480242 | Jadab K Bhattacharyya | Internal Medicine | 534 Abbott Rd, Buffalo, NY 14220 | 2006-12-06 |
| Find all providers in zip 14220 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740807486 | Ilana Nicole Cypes | Pharmacist | Carlton St & Elm Street, Buffalo, NY 14263-0001 | 2020-06-29 |
| 1457975674 | Qing Ma | Pharmacist | Nys Center of Excellence In Bioinformatics and Life Sci, 701 Ellicott Street, Buffalo, NY 14203 | 2020-06-03 |
| 1023631967 | William Allan Prescott Jr. | Pharmacist | 218 Pharmacy Building, Buffalo, NY 14260-0001 | 2020-05-27 |
| 1619596558 | Kelly Blum | Pharmacist | 1100 Main St # 120, Buffalo, NY 14209-2308 | 2020-04-10 |
| 1386279610 | Julie Lee | Pharmacist | 1300 Hwy 55, Buffalo, MN 55313 | 2020-03-06 |
| 1649800749 | Michelle Mayes | Pharmacist | 432 Porter Ave, Buffalo, NY 14201-1218 | 2020-01-17 |
| 1376193508 | Nicholas Michael Smith | Pharmacist | 701 Ellicott Street, Nys Center for Excellence, Buffalo, NY 14203-1101 | 2019-09-19 |
| 1366909558 | Mary Morehart | Pharmacist | 115 S. Hoy Suite A, Buffalo, OK 73834 | 2019-02-25 |
| 1104383546 | Qasim Abdulle | Pharmacist | 1050 Niagara St Ste 110, Buffalo, NY 14213-2007 | 2019-02-21 |
| 1780159293 | Stephanie M Englert | Pharmacist | 701 Seneca St Ste 205, Buffalo, NY 14210-1371 | 2018-10-11 |
| Find all providers in BUFFALO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.