DR. MICHAEL THOMAS BAUTISTA RPH
NPI 1053024117
Pharmacist in New York, NY

Active since January 03, 2023
130 5TH AVE, NEW YORK, NY 10011(212) 835-6920 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Michael Thomas Bautista Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL THOMAS BAUTISTA RPH (NPI 1053024117) is an individual pharmacist in New York, New York, licensed in New York (069874) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1053024117
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. MICHAEL THOMAS BAUTISTACredential: RPH
Location Address130 5TH AVENew York, NY 10011-4306
Mailing Address5 Mark TrlMedford, NY 11763-2513 · (631) 394-5612
Sole ProprietorNo
Enumeration DateJanuary 3, 2023
NPPES CertifiedJanuary 3, 2023
NPI 1053024117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NY · 069874
Definition

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.

130 5TH AVE, New York, NY 10011

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
130 5TH AVE
NEW YORK, NY 10011
Social Worker (Clinical)
130 5TH AVE, SUITE 900
NEW YORK, NY 10011
Social Worker (Clinical)
130 5TH AVE, SUITE 900
NEW YORK, NY 10011
Social Worker (Clinical)
130 5TH AVE, SUITE 910
NEW YORK, NY 10011
Social Worker (Clinical)
130 5TH AVE, SUITE 900
NEW YORK, NY 10011
Social Worker (Clinical)
130 5TH AVE, SUITE 900
NEW YORK, NY 10011
Clinic/Center (Adult Mental Health)
130 5TH AVE, SUITE 900
NEW YORK, NY 10011
Pharmacy
130 5TH AVE
NEW YORK, NY 10011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Bautista's NPI number?

The NPI number for Michael Bautista is 1053024117. It was assigned to this individual provider in the NPPES registry on January 3, 2023.

Where is Michael Bautista located?

Michael Bautista practices at 130 5th Ave, New York, NY 10011. The listed phone number is (212) 835-6920.

What is Michael Bautista's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Michael Bautista was last updated on January 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.