DR. VIRAL KOTHARY


Address: 7625 Mexico Way, Buena Park, CA 90620-1236
Phone: 5594317972

DR. VIRAL KOTHARY (NPI# 1417916669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417916669
Entity Type Individual
Full Name DR. VIRAL KOTHARY
Credential PHARM.D., BCPS, BCGP
Practice Address 7625 Mexico Way
Buena Park
CA 90620-1236
Practice Telephone 5594317972
Mailing Telephone 5594317972
Enumeration Date 2006-03-17
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 183500000X Pharmacist 53998 CA Pharmacy Service Providers
Y 1835P1200X Pharmacist
Specialization: Pharmacotherapy
53998 CA Pharmacy Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2615 E Clinton Ave, Mail Route 119, Fresno, CA 937032223 5592256100 5592416496

Office Location

Street Address 7625 MEXICO WAY
City BUENA PARK
State CA
Zip Code 90620-1236

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Taxonomy Information

Taxonomy Code 1835P1200X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacotherapy

Taxonomy Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition]

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Competitor

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City BUENA PARK
Zip Code 90620

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Dataset Information

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.

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